Individual
MRS. JOHNNA MAE GADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1479 SARATOGA AVE, SAN JOSE, CA 95129-4934
(877) 991-0009
Mailing address
240 HOLLIS AVE APT 7, CAMPBELL, CA 95008-4824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12261
CA
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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