Individual
JASMINE PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2038A ALA MAHAMOE ST, HONOLULU, HI 96819-1665
(415) 439-0746
Mailing address
5010 ENSIGN ST, SAN DIEGO, CA 92117-1205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23088
CA
225XG0600X
Gerontology Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/08/2022
Last updated
08/19/2024
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