Individual
C TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1750 MERIDIAN AVE, 6694, SAN JOSE, CA 95125-5545
(408) 647-5437
Mailing address
PO BOX 6694, SAN JOSE, CA 95150-6694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8341
CA
Other
Enumeration date
07/12/2006
Last updated
08/19/2010
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