Individual
DANIEL JOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, OTD
Contact information
Practice address
3030 REGENT ST APT 2, BERKELEY, CA 94705-2526
(559) 907-5900
Mailing address
3030 REGENT ST APT 2, BERKELEY, CA 94705-2526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20418
CA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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