JACEY VAN DYK

BISHOP, CA
NPI1043761216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA2766)
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
JACEY VAN DYK
151 PIONEER LN
BISHOP, CA 93514-2557
Phone number: 760-872-1000
Mailing Address
JACEY VAN DYK
151 PIONEER LN
BISHOP, CA 93514-2557
Phone number: