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Individual

JACLYN KERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9005
(541) 716-1316
Mailing address
413 DIANA PL, FULLERTON, CA 92833-2656
(714) 488-9099

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
404231
OR
224Z00000X
Occupational Therapy Assistant
4501
CA

Other

Enumeration date
07/17/2020
Last updated
07/17/2020
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