Individual
MISS JENNICA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1601 EASTMAN AVE UNIT 103, VENTURA, CA 93003-6441
(805) 650-6290
Mailing address
1601 EASTMAN AVE UNIT 103, VENTURA, CA 93003-6441
(805) 650-6290
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT26029
CA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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