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Individual

JAY ALAN FORD

Active
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Individual

JAY ALAN FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4938
CA
225X00000X
Occupational Therapist
OT18659
FL
225XH1200X
Hand Occupational Therapist
4938
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4938
OT STATE LIC
CA
01
OT18659
OT STATE LICENCSE
FL
Enumeration date
04/16/2007
Last updated
05/05/2020
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