Individual
HEATHER LAVONNE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
488 N 6TH ST, SAN JOSE, CA 95112-5267
(408) 293-0422
Mailing address
488 N 6TH ST, SAN JOSE, CA 95112-5267
(408) 293-0422
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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