Individual
JESSICA TINA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7008
(530) 600-1922
Mailing address
PO BOX 9578, SOUTH LAKE TAHOE, CA 96158-9578
(530) 543-5896
(530) 544-6512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18537
CA
225X00000X
Occupational Therapist
OT-2109
NV
Other
Enumeration date
09/19/2018
Last updated
05/18/2023
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