Individual
MRS. JENNIFER ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 GALLI DR STE 100A, NOVATO, CA 94949-5776
(415) 884-9101
Mailing address
660 VISCHER CT, SONOMA, CA 95476-7174
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16047
CA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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