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NPI Code Detail

MEDICARE: SALLY JEFFERS

MEDICARE: SALLY JEFFERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1562CA

General Provider Information

NPI Number : 1073140224
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY JEFFERS
Provider Business Mailing Address
First Line : 440 DAVIS CT APT 1419
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-2482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4100 TRUXTUN AVE STE 200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0656
Country : US
Telephone Number : 661-632-1538
Fax Number : 661-632-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 04/18/2020

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Directions to “ SALLY JEFFERS ” Practice Location

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