Individual
JUDY JAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
738 E HOOVER AVE, ORANGE, CA 92867-4927
(714) 321-6079
Mailing address
738 E HOOVER AVE, ORANGE, CA 92867
(714) 321-6079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1118OT
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118OT
OT LICENSE NUMBER
CA
Enumeration date
08/01/2008
Last updated
08/01/2008
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