Individual
VANESSA LADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
3000 E ORANGEBURG AVE # 26, MODESTO, CA 95355-3597
(209) 480-9015
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
15631
CA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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