SURA SO

Occupational Therapy Assistant

Active Individual
NPI: 1104594910

Practice Address

2501 ALVIN AVE
San Jose, CA 95121

Phone: (408) 238-9751

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 4767 (CA)

Frequently Asked Questions

NPI 1104594910 is the National Provider Identifier for SURA SO, a Occupational Therapy Assistant provider located in San Jose, CA. This NPI was enumerated on September 6, 2021.
SURA SO practices at 2501 ALVIN AVE, San Jose, CA 95121.

Quick Facts

NPI
1104594910
Type
Individual
Enumerated
Sep 6, 2021
Last Updated
Sep 6, 2021

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