Individual
JEFFREY WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
877 44TH AVE, SAN FRANCISCO, CA 94121-3307
(415) 706-7433
Mailing address
877 44TH AVE, SAN FRANCISCO, CA 94121-3307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15527
CA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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