Individual
MS. JENNIFER MIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
106 BERYLWOOD LN, MILPITAS, CA 95035-2542
(408) 712-2351
Mailing address
106 BERYLWOOD LN, MILPITAS, CA 95035-2542
(408) 712-2351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6721
CA
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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