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Individual

SHAJI EDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
410 N WINCHESTER BLVD, SANTA CLARA, CA 95050-6325
(408) 248-3736
Mailing address
567 S PARK VICTORIA DR APT 203, MILPITAS, CA 95035-6441
(408) 208-4022

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53235
CA

Other

Enumeration date
05/20/2026
Last updated
05/20/2026
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