Individual
CRYSTAL GINES CU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 LAWRENCE EXPY DEPT 174, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
820 N DELAWARE ST APT 309, SAN MATEO, CA 94401-1540
(209) 915-4105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18639
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
03/07/2025
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