Individual
MR. MICHAEL SCOTT UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
826 N WINCHESTER BLVD, SAN JOSE, CA 95128-1313
(408) 337-2727
Mailing address
4136 DAKE AVE, PALO ALTO, CA 94306-4615
(650) 815-5059
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19868
CA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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