Individual
DAVE DE JESUS
Active
Individual
DAVE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
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
Update your record
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