Individual provider · Type 1 NPI
Alida Thao
Rehabilitation Practitioner · San Jose, CA
NPI number
1760163018
Active
Practice location
160 E Virginia St Ste 280
San Jose, CA 95112-5817
Fax (408) 579-6143
Other practice locations
- 1360 N Winchester Blvd, San Jose, CA 95128-1150 · (408) 709-9214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Behavior Technician | 106S00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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About NPI 1760163018
Alida Thao's National Provider Identifier is 1760163018, issued on Jul 28, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 4, 2025.