Individual
BLANKA PENTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 885-5000
Mailing address
3555 SANDPEBBLE DR APT 550, SAN JOSE, CA 95136-4032
(408) 605-7606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18931
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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