Individual
LISA CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1421 GERHARDT AVE, SAN JOSE, CA 95125-4022
(408) 314-2785
Mailing address
1421 GERHARDT AVE, SAN JOSE, CA 95125-4022
(408) 314-2785
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3003
CA
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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