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Organization

DEVELOPMENT IS CHILD'S PLAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERI WISS (DIRECTOR)
(408) 865-1365
Entity
Organization

Contact information

Practice address
10011 N FOOTHILL BLVD, SUITE 109, CUPERTINO, CA 95014-5649
(408) 865-1365
Mailing address
10011 N FOOTHILL BLVD, SUITE 109, CUPERTINO, CA 95014-5649

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2912
CA
261QD1600X
Developmental Disabilities Clinic/Center
OT 2912
CA

Other

Enumeration date
04/05/2006
Last updated
09/11/2025
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