Hitchcock, Jacqueline Grace

Hitchcock, Jacqueline Grace is an individual health care provider with primary practice located at 40 Camino Alto , Mill Valley CA 94941-2956. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hitchcock, Jacqueline Grace can be contacted via phone (415) 383-1600.

Contact Information

Primary practice address
40 Camino Alto Mill Valley CA 94941-2956
Phone: (415) 383-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 23475 California

Profile Details

NPI number 1124739685
LBN Legal business name Hitchcock, Jacqueline Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2022
Last updated Dec 6th, 2022 - about 3 years ago

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 1124739685 NPPES
California Other 23475 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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