Individual
JENNETTA SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
375 COHASSET RD, CHICO, CA 95926-2211
(530) 343-5595
Mailing address
3664 MAIN ST, WALWORTH, NY 14568-9461
(585) 746-3240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20393
CA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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