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Individual

DANAELIZABETH BUNGCAYAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1267 MERIDIAN AVE, SAN JOSE, CA 95125-5210
(408) 265-4211
Mailing address
1267 MERIDIAN AVE, SAN JOSE, CA 95125-5210
(408) 265-4211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15241
CA

Other

Enumeration date
04/30/2015
Last updated
05/18/2015
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