Individual
JENNIFER WEIAI TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT19412
CA
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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