Individual
EILEEN M CAVLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, P.T.A.
Contact information
Practice address
1021 BLOSSOM HILL RD STE 20, SAN JOSE, CA 95123-1188
(408) 375-8918
Mailing address
873 REDBIRD DR, SAN JOSE, CA 95125-2824
(408) 829-7579
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
TCH 21377
CA
225200000X
Physical Therapy Assistant
AT 8167
CA
225700000X
Massage Therapist
Primary
CAMTC 53390
CA
Other
Enumeration date
08/17/2015
Last updated
07/12/2023
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