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Individual

MARIA CARTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16412 LOS GATOS BLVD, LOS GATOS, CA 95032-5525
(408) 357-8840
Mailing address
3774 POINCIANA DR, SANTA CLARA, CA 95051-2009
(650) 864-2528

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
21460
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24106
OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
09/28/2022
Last updated
09/28/2022
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