Individual
JENNIFER LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, SCFES, SW
Contact information
Practice address
2262 N 1ST ST, SAN JOSE, CA 95131-2022
(408) 337-2727
(408) 478-4130
Mailing address
2262 N 1ST ST, SAN JOSE, CA 95131-2022
(408) 337-2727
(408) 478-4130
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
11766
CA
225XM0800X
Mental Health Occupational Therapist
11766
CA
225XP0200X
Pediatric Occupational Therapist
Primary
11766
CA
Other
Enumeration date
11/23/2012
Last updated
10/14/2024
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