Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1848 | CA |
N | 2251E1200X | Ergonomics | 1848 | CA |
N | 225XE1200X | Ergonomics | 1848 | CA |
Y | 225XH1200X | Occupational Therapist - Hand | 1848 | CA |
NPI | 1013026780 |
---|---|
Provider Name | Mrs. Jennifer Curry Guth |
First Address | San Marcos, CA 92078-3202 |
Second Address | Carlsbad, CA 92008-1743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 27/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OT1848 | OT LICENSE # (01) | CA |