De Jesus, Dave

De Jesus, Dave is an sole proprietor health care provider with primary practice located at 220 E 24Th St , National City CA 91950-6705. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. De Jesus, Dave can be contacted via phone (619) 474-6741.

Contact Information

Primary practice address
220 E 24Th St National City CA 91950-6705
Phone: (619) 474-6741
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 13318 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 305507

Profile Details

NPI number 1841678265
LBN Legal business name De Jesus, Dave
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2015
Last updated Nov 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841678265 NPPES
Other 305507 NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
Other 13318 NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY

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