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Individual

DAVE DE JESUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
220 E 24TH ST, NATIONAL CITY, CA 91950-6705
(619) 474-6741
Mailing address
220 E 24TH ST, NATIONAL CITY, CA 91950-6705

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13318
CA
225X00000X
Occupational Therapist
305507

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13318
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
01
305507
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
Enumeration date
05/18/2015
Last updated
11/08/2023
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