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Individual

JILL KATHERINE PURDOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5151 MURPHY CANYON RD, SAN DIEGO, CA 92123-4440
(858) 571-0708
Mailing address
5043 JUNEBERRY CT, SAN DIEGO, CA 92123-6446

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
388365
CA

Other

Enumeration date
10/09/2017
Last updated
10/09/2017
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