Individual
JONTUE LEILANI KOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1227 SUN VALLEY RD, SOLANA BEACH, CA 92075-1645
(808) 381-0625
Mailing address
1227 SUN VALLEY RD, SOLANA BEACH, CA 92075-1645
(808) 381-0625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11294
CA
Other
Enumeration date
11/30/2008
Last updated
12/05/2012
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