Organization
HEART AND SOUL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MOSES OTR/L (OCCUPATIONAL THERAPIST)
(510) 334-8531
Entity
Organization
Contact information
Practice address
21100 GARY DR, 121, CASTRO VALLEY, CA 94546-6138
(510) 397-9826
Mailing address
PO BOX 8770, EMERYVILLE, CA 94662-0770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11230
CA
225X00000X
Occupational Therapist
Primary
12527
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
11230
—
225XP0019X
Physical Rehabilitation Occupational Therapist
12527
CA
225XP0200X
Pediatric Occupational Therapist
11230
CA
225XP0200X
Pediatric Occupational Therapist
12527
CA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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