JESSICA LAGUE

APTOS, CA
NPI1164764098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VT  072.0074914)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CA  OT 8304)
Enumeration Date2013-03-18
Last Update Date2023-12-29
Business Address
JESSICA LAGUE OTR/L
1940 BONITA DR
APTOS, CA 95003-5524
Phone number: 831-684-1804
Mailing Address
JESSICA LAGUE OTR/L
PO BOX 1005
WAITSFIELD, VT 05673-1005
Phone number: 802-730-7737