Individual
MR. CASEY CHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15206 SHINING STAR LN, SAN LEANDRO, CA 94579-1972
(310) 796-6210
Mailing address
328 BROOKDALE WAY, HAYWARD, CA 94544-6663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20636
CA
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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