Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT818 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1396892519 |
---|---|
Provider Name | Cristina Celaya |
First Address | San Jose, CA 95127-4910 |
Second Address | San Jose, CA 95119-1130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 03/01/2022 |