Individual
JESSICA DACQUIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
Mailing address
61 PELICAN DR, WATSONVILLE, CA 95076-6639
(831) 539-1433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44AV
—
CA
Enumeration date
10/02/2019
Last updated
09/09/2024
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