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NPI 1053941989 · Developmental Disabilities Clinic/Center · San Jose, CA
Provider details
- NPI number
- 1053941989
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Davis, Ower/Operator(408) 337-2727
Specialties & taxonomies
Ambulatory Health Care Facilities
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
826 N Winchester Blvd Ste 2g
San Jose, CA 95128-1357
Phone: (408) 337-2727
Fax: (408) 478-4130
Approximate (ZIP-level) locationGet directions
Mailing address
826 N Winchester Blvd Ste 2g
San Jose, CA 95128-1357
Registry dates
- Enumerated
- 2020-01-20
- Last updated
- 2020-01-20
- Certified
- 2020-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.