Individual
JILLIAN REBEKAH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2834 CONGRESS RD, PEBBLE BEACH, CA 93953-3107
(858) 866-6228
Mailing address
2834 CONGRESS RD, PEBBLE BEACH, CA 93953-3107
(858) 866-6228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8242
CA
Other
Enumeration date
11/11/2008
Last updated
04/25/2024
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