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Individual

JONATHAN D JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2401 BLANDING AVE, ALAMEDA, CA 94501-1503
(510) 522-1084
Mailing address
2291 DEXTER WAY, HAYWARD, CA 94541-4441
(510) 284-9004
(510) 284-9004

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22779
CA

Other

Enumeration date
04/07/2022
Last updated
04/07/2022
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