NPI 1639425721

Jennifer Marie Longoria, OTA

Practitioner Occupational Therapy Assistant Fairfield, CA

Practice location

Address: 2702 Low CT, Fairfield, CA 94534-9771
Phone: (707) 427-4900
Fax: (707) 432-2661
Mailing address: PO Box 255228, Sacramento, CA 95865-5228

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 469 (CA)

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1639425721
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2012
Record last updated: 26 Jul 2012

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.