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Natalie Tahara, OTR/L
Military Health Care Provider in San Jose, California
NPI 1356797468

Natalie Tahara is a Military Health Care Provider based in San Jose, CA. Natalie Tahara practices in San Jose, CA and has the professional credentials of OTR/L. The NPI Number for Natalie Tahara is 1356797468 and holds a License No. OT645 (California).

The current practice location address for Natalie Tahara is 80 Great Oaks Blvd # 117, San Jose, CA and can be reached out via phone at 408-363-3000.

Location: 80 Great Oaks Blvd # 117, San Jose, CA, 95119-1310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356797468
Provider Name
Natalie Tahara
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
80 Great Oaks Blvd # 117, San Jose, CA, 95119-1310
Phone Number
408-363-3000
Fax Number
Provider Enumeration Date
05/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 Great Oaks Blvd # 117
City
San Jose
State
California
Zip
95119-1310
Phone Number
408-363-3000
Fax Number
person
Provider Business Mailing Address Details
Address
80 Great Oaks Blvd # 117
City
San Jose
State
California
Zip
95119-1310
Phone Number
408-363-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
OT645 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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