Individual provider · Type 1 NPI

Tatiana Lily Anderson

Rehabilitation Practitioner · San Jose, CA

NPI number 1780552497 Active

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Call (408) 390-9552 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone 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 1780552497

Tatiana Lily Anderson's National Provider Identifier is 1780552497, issued on Oct 24, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Oct 6, 2026.