Individual
JEAN R. ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
8929 WILSHIRE BLVD, STE 304, BEVERLY HILLS, CA 90211-1938
(310) 854-0529
(310) 854-0768
Mailing address
200 NEWPORT CENTER DR, #213, NEWPORT BEACH, CA 92660-7501
(949) 644-1322
(949) 644-0316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOT2401B
MEDICARE PTAN
CA
Enumeration date
06/06/2006
Last updated
04/15/2015
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