Individual
MR. JORDAN OLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1301 REDWOOD WAY STE 170, PETALUMA, CA 94954-1109
(707) 559-8063
Mailing address
6 COMMERCIAL BLVD STE 5, NOVATO, CA 94949-6100
(415) 884-9101
(415) 952-9328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11025
CA
Other
Enumeration date
02/25/2016
Last updated
03/26/2026
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