Individual
ANISH R VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
Mailing address
48695 FLAGSTAFF CT, FREMONT, CA 94539-7708
(510) 676-2842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
862
CA
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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