NPI 1023657053

Jessica Phung, OTRL

Practitioner Occupational Therapist Colton, CA

Practice location

Address: 400 N Pepper Ave, Colton, CA 92324-1819
Phone: (909) 580-1000
Mailing address: 4860 Almondwood Way, San Diego, CA 92130-2784

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT17799 (CA)

Other Occupational Therapist providers in California →

Registry record

NPI: 1023657053
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2019
Record last updated: 20 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.