Individual
MS. JETTA COLLEEN HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11508 DARLINGTON AVE, BAKERSFIELD, CA 93312-6472
(661) 679-4456
Mailing address
11508 DARLINGTON AVE, BAKERSFIELD, CA 93312-6472
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235417
NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
MD
01
—
OTA 1704
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
11/01/2009
Last updated
11/01/2009
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