Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 1576 | CA |
NPI | 1033379995 |
---|---|
Provider Name | Jasmine Selene Hobson |
First Address | San Marcos, CA 92078-4019 |
Second Address | San Marcos, CA 92078-4019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 13/06/2008 |