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Individual

JESSICA ZARA VANDERLIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7040
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7040

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
23394
CA

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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