Individual
MS. ISHA JO HELEN DUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(419) 308-2767
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(419) 308-2767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12829
CA
225X00000X
Occupational Therapist
5201008212
MI
Other
Enumeration date
03/23/2012
Last updated
01/15/2020
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