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GLORIA VISTRO CANLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
14331 TIBURON RD, SAN LEANDRO, CA 94577-6533
(510) 541-2032
Mailing address
14331 TIBURON RD, SAN LEANDRO, CA 94577-6533
(510) 541-2032

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4892
CA

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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