Most Relevant Information
Provider Data
| NPI Number: | 1003299736 |
| Provider Name: | JACOB BAQUIR MHA, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT 8854 |
Most Important Dates
| Enumeration Date: | 06/30/2015 |
| Last Updated: | 06/30/2015 |
Provider Practice Location
424 W 231ST ST
CARSON
CA
907454637
Practice Location Phone/Fax
| Phone: | 3104085611 |
| Fax: |
Provider Mailing Location
424 W 231ST ST
CARSON
CA
907454637
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |