Individual
MICHELLE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36000 FREMONT BLVD, APT 11, FREMONT, CA 94536-3465
(650) 758-4700
Mailing address
36000 FREMONT BLVD, APT 11, FREMONT, CA 94536-3465
(650) 758-4700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1562
CA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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