Individual
CATHY E JENKINS-ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-6996
Mailing address
PO BOX 20637, RIVERSIDE, CA 92516-0637
(951) 789-8225
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 723
CA
Other
Enumeration date
03/23/2007
Last updated
12/01/2021
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