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Individual

JENNIFER STUCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
10973 WETHERSFIELD DR, MATHER, CA 95655-3067
(530) 919-0811

Taxonomy

Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
10164
CA
225XP0200X
Pediatric Occupational Therapist
Primary
10164
CA

Other

Enumeration date
07/30/2013
Last updated
07/30/2013
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