Individual
JENNIFER CANARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2521 WINDWARD WAY, CHULA VISTA, CA 91914-4526
(619) 948-9449
Mailing address
2405 STEAMBOAT SPRINGS CT, CHULA VISTA, CA 91915-2223
(619) 421-1013
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT 3698
CA
225XM0800X
Mental Health Occupational Therapist
OT 3698
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 3698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3698
LICENSE
CA
Enumeration date
09/24/2014
Last updated
09/25/2014
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