Individual
ANTHONY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 NORTHLAKE DR, SAN JOSE, CA 95117-1251
(408) 249-0344
Mailing address
340 NORTHLAKE DR, SAN JOSE, CA 95117-1251
(408) 249-0344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15940
CA
Other
Enumeration date
05/15/2019
Last updated
09/23/2020
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