Jemma Jasmin Bolaoen, OTR/L
Occupational Therapist in Encino, CA. Individual provider (NPI-1).
NPI number1760168645
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1760168645
- Entity type
- Individual (NPI-1)
- Name
- Jemma Jasmin Bolaoen
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 25, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT25008 | CA | Yes |
Practice location
16500 Ventura Blvd Suite 414Encino, CA 91436
Phone 818-788-1003
Mailing address
16500 Ventura Blvd Suite 414Encino, CA 91436
Phone 818-788-1003
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All 55 Occupational Therapist providers in Encino · All 4,565 providers in Encino
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