Most Relevant Information
Provider Data
| NPI Number: | 1003497348 |
| Provider Name: | OI LAN JEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT433 |
Most Important Dates
| Enumeration Date: | 04/19/2021 |
| Last Updated: | 04/19/2021 |
Provider Practice Location
2241 N UNION RD
MANTECA
CA
953368271
Practice Location Phone/Fax
| Phone: | 8009674667 |
| Fax: |
Provider Mailing Location
926 LAURYN RIDGE CT
MILPITAS
CA
950356685
Provider Mailing Phone/Fax
| Phone: | 4085065303 |
| Fax: |