Individual
CHARLOTTE DENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 OAK GROVE AVE STE A102, MENLO PARK, CA 94025-4427
(650) 323-0805
Mailing address
849 MENLO AVE, MENLO PARK, CA 94025-4728
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
14009
CA
Other
Enumeration date
09/03/2012
Last updated
01/26/2023
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