Individual
JESSICA CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
21641 CANADA RD APT 8K, LAKE FOREST, CA 92630-2765
(949) 257-2213
Mailing address
21641 CANADA RD APT 8K, LAKE FOREST, CA 92630-2765
(949) 257-2213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16168
CA
Other
Enumeration date
04/09/2016
Last updated
06/15/2020
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