Individual
JEANINA NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 ALCOSTA BLVD STE 100, SAN RAMON, CA 94583-4439
(925) 210-8530
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
26070
CA
Other
Enumeration date
04/09/2024
Last updated
04/24/2024
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