Individual
MRS. JENNIE LINN DIGRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTR/L
Contact information
Practice address
700 WINDY POINT DR, SAN MARCOS, CA 92069-1701
(760) 591-3012
Mailing address
4605 BRIAR RIDGE RD, OCEANSIDE, CA 92056-2233
(719) 250-0938
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12990
CA
225X00000X
Occupational Therapist
Primary
12990
CA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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