Healthcare Provider Details

I. General information

NPI: 1316879331
Provider Name (Legal Business Name): JESSICA WILLIAMS DOBSON MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3045 SANTIAGO ST APT 8
SAN FRANCISCO CA
94116-1526
US

IV. Provider business mailing address

1686 HAYES ST APT 8
SAN FRANCISCO CA
94117-1306
US

V. Phone/Fax

Practice location:
  • Phone: 415-759-2222
  • Fax: 415-242-2528
Mailing address:
  • Phone: 415-505-7278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5139
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: