Individual
JENA ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
(831) 458-6230
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19777
CA
Other
Enumeration date
03/21/2019
Last updated
03/06/2024
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