Individual
JENNIFER WAYNE SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15454 GALE AVE STE F, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Mailing address
13096 LE PARC UNIT 59, CHINO HILLS, CA 91709-1168
(626) 823-0571
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT21624
CA
Other
Enumeration date
02/09/2021
Last updated
03/01/2021
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