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Individual

GRACE ELIZABETH MUPPIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD,OTR/L

Contact information

Practice address
4637 CHABOT DR STE 118, PLEASANTON, CA 94588-2749
(480) 729-5700
Mailing address
30972 FAIRCLIFF ST, HAYWARD, CA 94544-7439
(925) 393-9404

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26972
CA

Other

Enumeration date
10/09/2024
Last updated
10/10/2024
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