# ANDANTE PEDIATRIC THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326915786
- **Authorized official:** CHIAO-JU FANG PHD, OTR/L (PRESIDENT)
- **Authorized official phone:** (510) 972-8166

## Contact information

- **Practice address:** 10080 N WOLFE RD STE SW3200, CUPERTINO, CA 95014-2594
- **Practice address phone:** (510) 972-8166
- **Mailing address:** 10080 N WOLFE RD STE SW3200, CUPERTINO, CA 95014-2594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2025
- **Last updated:** 10/21/2025