Individual
DR. JERRY ERNEST LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., OTR/L
Contact information
Practice address
8699 HOLDER ST, BUENA PARK, CA 90620-3614
(714) 563-6556
(714) 821-5683
Mailing address
8699 HOLDER ST, BUENA PARK, CA 90620-3614
(714) 563-6556
(714) 821-5683
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 11789
CA
225X00000X
Occupational Therapist
OT 5173
CA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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