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Jessica Elizabeth Stanford, OTR/LCHT
Specialist in Hollister, California
NPI 1689693988

Jessica Elizabeth Stanford is a Specialist based in Hollister, CA. Jessica Elizabeth Stanford practices in Hollister, CA and has the professional credentials of OTR/LCHT. The NPI Number for Jessica Elizabeth Stanford is 1689693988 and holds a License No. 2693 (California).

The current practice location address for Jessica Elizabeth Stanford is 961A Sunset Dr, Hollister, CA and can be reached out via phone at 831-635-1135.

Location: 961A Sunset Dr, Hollister, CA, 95023-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689693988
Provider Name
Jessica Elizabeth Stanford
Credential
OTR/LCHT
Provider Entity Type
Individual
Gender
Female
Address
961A Sunset Dr, Hollister, CA, 95023-5602
Phone Number
831-635-1135
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OT 2693 01 CA OT LICENSE
ZZZ02630Z 01 CA MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
961A Sunset Dr
City
Hollister
State
California
Zip
95023-5602
Phone Number
831-635-1135
Fax Number
person
Provider Business Mailing Address Details
Address
961A Sunset Dr
City
Hollister
State
California
Zip
95023-5602
Phone Number
831-635-1135
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT 2693 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
225XH1200X
License No.
2693 (California)
Definition
Definition to come...
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