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Organization
VISTA OT
Active
Organization
VISTA OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EIRI HAYASHIGATANI INENAGA MS, LOT (OCCUPATIONAL THERAPIST)
(408) 306-0954
Entity
Organization
Contact information
Practice address
261 VISTA VERDE WAY, PORTOLA VALLEY, CA 94028-8149
(408) 306-0954
Mailing address
261 VISTA VERDE WAY, PORTOLA VALLEY, CA 94028-8149
(408) 306-0954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1151
CA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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