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Individual

JACQUELINE VIOLETA SALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
39650 LIBERTY ST, FREMONT, CA 94538-2223
(510) 498-3900
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 498-3900

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
23421
CA
225XH1200X
Hand Occupational Therapist
Primary
23421
CA

Other

Enumeration date
03/26/2022
Last updated
07/11/2023
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