Individual provider · Type 1 NPI

Sura So

Occupational Therapy Assistant · San Jose, CA

NPI number 1104594910 Active

Practice location

2501 Alvin Ave
San Jose, CA 95121-1660

Mailing address

1479 Cherry Cir
Milpitas, CA 95035-3879

Other practice locations

  • 2400 Parkside Dr, Fremont, CA 94536-5332 · (510) 793-7222

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4767 (CA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104594910

Sura So's National Provider Identifier is 1104594910, issued on Sep 6, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Jose, CA. The record was last updated on Sep 6, 2021.