Individual
HIRA ILYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
39159 PASEO PADRE PKWY STE 304, FREMONT, CA 94538-1698
(510) 858-2273
Mailing address
3086 MANUEL ST UNIT 2, SAN JOSE, CA 95136-4893
(408) 679-3101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16229
CA
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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