Individual
MARIA MARIBEL MAZARIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2500 COUNTRY DR, FREMONT, CA 94536-5356
(510) 792-4242
Mailing address
5583 WALNUT BLOSSOM DR, SAN JOSE, CA 95123-2281
(862) 203-9649
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4586
CA
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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