Individual
JANINE REBEKAH DONIDA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
(925) 201-4050
Mailing address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
20964
CA
225X00000X
Occupational Therapist
Primary
20964
CA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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