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Individual

MRS. ELLEN HANES STEIN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
21966 DOLORES ST, CASTRO VALLEY, CA 94546-6900
(510) 733-2413
(510) 583-1263
Mailing address
10 APPLEGATE WAY, ALAMEDA, CA 94502-7714
(510) 865-3241

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT164
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043489016
CA
Enumeration date
08/09/2018
Last updated
09/11/2025
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