Individual
MS. CAROL L SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20090 STANTON AVE, CASTRO VALLEY, CA 94546-5203
(510) 538-8464
Mailing address
20090 STANTON AVE, CASTRO VALLEY, CA 94546-5203
(510) 538-8464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11145
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2008
Last updated
02/27/2023
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