Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse McCormack

Individual provider Pediatric Occupational Therapist · NPI 1689092934

Jesse McCormack is a Pediatric Occupational Therapist in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

1650 S Amphlett Blvd Ste 108
San Mateo, CA 94402-2514
Phone: (650) 638-9142
Fax: (650) 638-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence LP 1411 (CA)

Record details

NPI number1689092934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2014
Last updated in NPPESApril 3, 2014

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