Individual provider · Type 1 NPI

Autumn CB Leaves

Rehabilitation Practitioner · San Jose, CA

NPI number 1992688485 Active

Practice location

438 N White Rd
San Jose, CA 95127-1439

Call (408) 254-6828 Map

Fax (408) 642-6052

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Specialties and licenses

TaxonomyCodeLicense
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 1992688485

Autumn CB Leaves's National Provider Identifier is 1992688485, issued on Jul 30, 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 Jul 31, 2025.