Individual
JACQUELINE OLIVIA D'ARIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-2311
Mailing address
5350 MANILA AVE, OAKLAND, CA 94618-1106
(631) 560-0908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
407541
CA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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