Jason Douglas
Occupational Therapist in San Francisco, CA. Individual provider (NPI-1).
NPI number1023998564
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1023998564
- Entity type
- Individual (NPI-1)
- Name
- Jason Douglas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2025
- Certification date
- Sep 4, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 7368 | CA | Yes |
Practice location
450 Stanyan StSan Francisco, CA 94117-1019
Phone 415-668-1000
Mailing address
1255 Grove St Apt 104San Francisco, CA 94117-1547
Phone 415-505-5398
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