Individual ProviderJoanne Tien JiangOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2625 Shadelands Dr, Walnut Creek, CA 94598-2512(925) 939-8585PECOS EnrollmentBased on the most recent information from CMS, provider Joanne Tien Jiang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609455427Provider TypeIndividualFull NameJiang, Joanne TienCredentialOTGenderFemaleSole ProprietorNoEnumeration Date4/7/2021Last Updated4/20/2021Contact InformationPractice LocationPractice Address2625 Shadelands Dr, Walnut Creek, CA 94598-2512Phone(925) 939-8585FaxUnlisted FaxMailing LocationMailing AddressPO Box 31396, Walnut Creek, CA 94598-8396PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225XH1200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense21944CaliforniaCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT21944CaliforniaCode225XH1200XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer