Individual
ALLYSSA MARIE TESORO MADRIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 702-1034
Mailing address
3297 BIRCHWOOD LN, SAN JOSE, CA 95132-1207
(408) 896-6164
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
39384
CA
235Z00000X
Speech-Language Pathologist
Primary
19288
CA
235Z00000X
Speech-Language Pathologist
Primary
39384
CA
Other
Enumeration date
06/25/2024
Last updated
05/20/2026
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