Individual
CHRISTINE ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5744 CHESBRO AVE, SAN JOSE, CA 95123-3023
(408) 219-0564
Mailing address
5744 CHESBRO AVE, SAN JOSE, CA 95123-3023
(408) 219-0564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3114
CA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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