Individual
JESSICA LYNNE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
400 PARNASSUS AVE # A-68, SAN FRANCISCO, CA 94143-2202
(415) 353-1984
Mailing address
6880 BUCKINGHAM BLVD, BERKELEY, CA 94705-1709
(859) 750-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22144
CA
225X00000X
Occupational Therapist
246921
KY
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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