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Individual

CHERYL NISPEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
42 JASON DR, MILPITAS, CA 95035-2760
(408) 262-5177
Mailing address
42 JASON DR, MILPITAS, CA 95035-2760

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12679
CA

Other

Enumeration date
06/29/2012
Last updated
06/29/2012
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