Individual
JACQUELINE BRESNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
21615 HAWTHORNE BLVD, UNIT 200, TORRANCE, CA 90503-6668
(310) 371-8555
Mailing address
21615 HAWTHORNE BLVD, UNIT 200, TORRANCE, CA 90503-6668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10678
MA
225X00000X
Occupational Therapist
9828354
IL
225XP0200X
Pediatric Occupational Therapist
Primary
15317
CA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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