Individual
MR. BOSE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2501 ALVIN AVE, SAN JOSE, CA 95121-1660
(408) 238-9751
Mailing address
754 THE ALAMEDA APT 2212, SAN JOSE, CA 95126-3169
(951) 880-8682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23440
CA
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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