Individual
AMY TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1949 GRANT RD, MOUNTAIN VIEW, CA 94040-3217
(650) 968-2990
Mailing address
2200 DINWIDDIE WAY, ELK GROVE, CA 95758-7422
(916) 375-9855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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