Individual
NED-LOUISE JAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1121 CANYON VIEW LN, COLTON, CA 92324-4713
(909) 514-0373
Mailing address
1121 CANYON VIEW LN, COLTON, CA 92324-4713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1242
CA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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