Individual
DEANNA CAPILI PANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1786 RIDGETREE WAY, SAN JOSE, CA 95131-1942
(408) 887-0357
Mailing address
1786 RIDGETREE WAY, SAN JOSE, CA 95131-1942
(408) 887-0357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7869
CA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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