Individual
MONINA GANALON COPUACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3401 EL CAMINO REAL, PALO ALTO, CA 94306-2805
(650) 852-1228
(650) 852-0102
Mailing address
PO BOX 304, MOFFETT FIELD, CA 94035-0304
(650) 852-1228
(650) 852-0102
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT5750
CA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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