Provider Demographics
NPI:1013026780
Name:CURRY GUTH, JENNIFER (OTR/L/CHT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:CURRY GUTH
Suffix:
Gender:F
Credentials:OTR/L/CHT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L/CHT
Mailing Address - Street 1:2126 SILVERADO ST
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-3202
Mailing Address - Country:US
Mailing Address - Phone:619-370-7700
Mailing Address - Fax:
Practice Address - Street 1:2777 JEFFERSON ST
Practice Address - Street 2:STE 203E
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1743
Practice Address - Country:US
Practice Address - Phone:760-818-6588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1848225X00000X, 225XE1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOT1848OtherOT LICENSE #