Individual
MISS ERICA RENEE FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, PAM, SWC
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1459
Mailing address
1047 LONGFELLOW AVE, CAMPBELL, CA 95008-7110
(408) 806-7426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8822
CA
Other
Enumeration date
12/19/2011
Last updated
01/18/2022
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