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Individual

JYOTI KAUR TATLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3216 THOUSAND PINES CT, SAN JOSE, CA 95148-3645
(408) 807-0264
Mailing address
3216 THOUSAND PINES CT, SAN JOSE, CA 95148-3645
(408) 807-0264

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
225X00000X
Occupational Therapist
Primary
21471
CA

Other

Enumeration date
04/22/2014
Last updated
09/01/2020
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