Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 7109 | CA |
NPI | 1164487278 |
---|---|
Provider Name | Ms. Saba Kamal |
First Address | San Jose, CA 95123-3302 |
Second Address | San Jose, CA 95123-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 17/03/2018 |