Stanford, Jessica Elizabeth

Stanford, Jessica Elizabeth is an individual health care provider with primary practice located at 961A Sunset Dr , Hollister CA 95023-5602. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Stanford, Jessica Elizabeth can be contacted via phone (831) 635-1135.

Contact Information

Primary practice address
961A Sunset Dr Hollister CA 95023-5602
Phone: (831) 635-1135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 2693 California
Other Service Providers / Specialist 174400000X OT 2693 California

Profile Details

NPI number 1689693988
LBN Legal business name Stanford, Jessica Elizabeth
Credentials OTR/L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 16th, 2023 - about 2 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 1689693988 NPPES
California Other OT 2693 OT LICENSE
California Other ZZZ02630Z OT LICENSE

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