Individual
ALLISON GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
Mailing address
325 UNION AVE APT 251, CAMPBELL, CA 95008-4265
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6704
CA
Other
Enumeration date
11/21/2018
Last updated
03/25/2026
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