Most Relevant Information
Provider Data
| NPI Number: | 1003383514 |
| Provider Name: | JESSICA J WU DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2018 |
| Last Updated: | 12/18/2023 |
Provider Practice Location
5190 GOVERNOR DR STE 107
SAN DIEGO
CA
921222848
Practice Location Phone/Fax
| Phone: | 8583046440 |
| Fax: |
Provider Mailing Location
5190 GOVERNOR DR STE 107
SAN DIEGO
CA
921222848
Provider Mailing Phone/Fax
| Phone: | 8584520282 |
| Fax: | 8584526837 |