Vajarakitipongse, Jessica Gardenia
Vajarakitipongse, Jessica Gardenia is an individual health care provider with primary practice located at 2815 S Main St Ste 205 , Corona CA 92882-2533. 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. Vajarakitipongse, Jessica Gardenia can be contacted via phone (951) 475-1307.Contact Information
Primary practice address
2815 S Main St Ste 205
Corona CA 92882-2533
Phone: (951) 475-1307
Fax: (951) 475-1308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 11386 | California |
Profile Details
| NPI number | 1982039970 |
|---|---|
| LBN Legal business name | Vajarakitipongse, Jessica Gardenia |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2013 |
| Last updated | Apr 24th, 2019 - about 6 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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