Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 14933 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 14933 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 14933 | CA |
NPI | 1912532425 |
---|---|
Provider Name | Mrs. Monica Cristina Guzman Critchfield |
First Address | Fremont, CA 94536-1745 |
Second Address | Hayward, CA 94544-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2020 |
Last Update Date | 04/03/2020 |