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Individual

JAMIE LYNN CLAUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
20823 STEVENS CREEK BLVD, SUITE #200, CUPERTINO, CA 95014-2108
(408) 252-6076
(408) 252-1159
Mailing address
20823 STEVENS CREEK BLVD, SUITE #200, CUPERTINO, CA 95014-2108
(408) 252-6076
(408) 252-1159

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39867
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HA013Z
MEDICARE PTAN
Enumeration date
02/25/2013
Last updated
10/09/2013
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