Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 12033 | CA |
NPI | 1023470333 |
---|---|
Provider Name | Michelle Cirigliano |
First Address | Burlingame, CA 94010 |
Second Address | Belmont, CA 94002-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 25/03/2016 |