Individual
MS. SUE M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R/L
Contact information
Practice address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
(408) 753-9555
Mailing address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
(408) 753-9555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1899
CA
225XP0200X
Pediatric Occupational Therapist
Primary
1899
CA
Other
Enumeration date
10/22/2012
Last updated
02/20/2026
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