Individual
NATALIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1479 SARATOGA AVE, SAN JOSE, CA 95129-4934
(877) 991-0009
Mailing address
1479 SARATOGA AVE, SAN JOSE, CA 95129-4934
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT 14184
CA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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