Individual
JENNIFER CRIVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
380 VISTA ROMA WAY, UNIT 204, SAN JOSE, CA 95136-4415
(408) 425-1922
Mailing address
380 VISTA ROMA WAY, UNIT 204, SAN JOSE, CA 95136-4415
(408) 425-1922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8018
CA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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