Individual
HANA RAFTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 LUNDY AVE, SUITE 223, SAN JOSE, CA 95131-1887
(650) 814-3468
Mailing address
2290 HARVARD ST, PALO ALTO, CA 94306-1351
(650) 814-3468
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2015
Last updated
04/27/2016
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