Individual
ANGELINE FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7950 DUBLIN BLVD STE 315G, DUBLIN, CA 94568-2929
(925) 828-8240
Mailing address
444 N 14TH ST, SAN JOSE, CA 95112-1723
(650) 284-6570
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 9941
CA
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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