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Individual

MR. JEFFREY DALE MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
849 MENLO AVE, PLAYSTEPS FOR DEVELOPING KIDS, MENLO PARK, CA 94025-4728
(650) 323-0805
(650) 323-5262
Mailing address
849 MENLO AVE, PLAYSTEPS FOR DEVELOPING KIDS, MENLO PARK, CA 94025-4728
(650) 323-0805
(650) 323-5262

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8061
CA

Other

Enumeration date
05/12/2008
Last updated
05/21/2016
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