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Individual

MICHELLE URQUIDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
60 DAGGETT DR, SAN JOSE, CA 95134-2108
(408) 434-2277
Mailing address
60 DAGGETT DR, SAN JOSE, CA 95134-2108

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT10159
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT10159
BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
04/18/2016
Last updated
04/18/2016
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