Provider Demographics
NPI:1437706223
Name:WESTBY, JACQUELYN KAY (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:KAY
Last Name:WESTBY
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-1886
Mailing Address - Country:US
Mailing Address - Phone:617-821-1141
Mailing Address - Fax:
Practice Address - Street 1:215 W CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-3622
Practice Address - Country:US
Practice Address - Phone:760-724-0831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19388225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist