Individual
JESSICA LEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 431-5049
(866) 353-7829
Mailing address
4204A ADAMS AVE, SAN DIEGO, CA 92116-2300
(619) 431-5049
(866) 353-7829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
415044
CA
Other
Enumeration date
08/28/2019
Last updated
11/27/2023
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