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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODELYN TEOFILA ETTLIN, PTA

Active Sole Proprietor

JODELYN TEOFILA ETTLIN, PTA is a Occupational Therapist healthcare provider located in ROHNERT PARK, California. NPI 1508284886 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ROHNERT PARK, CA

Registration Details

NPI Number
1508284886
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2014 (12.402829820229 yrs)
Last Updated
Apr 3, 2014
License
AT-9120 (CA)
Sole Proprietor
Yes

Practice Information

Address
6174 STATE FARM DR
ROHNERT PARK, CA, 949282135
Browse CA providers · Browse ZIP 94928
Phone
7074807789
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ROHNERT PARK, CA

Name Credential NPI
ANN-MARIE BRAGANO P.T.A. 1003001546
ANGELINA ANTANG 1720521172
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.