JANA R MORTELLARO

SOUTH LAKE TAHOE, CA
NPI1083779086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  289)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NV  0401)
Enumeration Date2006-12-27
Last Update Date2018-03-17
Business Address
JANA R MORTELLARO MS, OTR-L, CHT
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7026
Phone number: 530-543-5896
Mailing Address
JANA R MORTELLARO MS, OTR-L, CHT
PO BOX 9578
SOUTH LAKE TAHOE, CA 96158-9578
Phone number: 530-543-5896