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Individual

CHARLENE EVANGELISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
4733 CHABOT DR STE 203, PLEASANTON, CA 94588-3972
(800) 403-3352
Mailing address
4733 CHABOT DR STE 203, PLEASANTON, CA 94588-3972

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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