Individual
MICHELLE LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 S WINCHESTER BLVD, SAN JOSE, CA 95128-2563
(408) 721-4275
Mailing address
3231 GOLF DR, SAN JOSE, CA 95127-1429
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1920
CA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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