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1700561354
MICHELLE LONGSHORE
SAN JOSE, CA
NPI
1700561354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: CA 1920)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
MICHELLE LONGSHORE OTR/L
500 S WINCHESTER BLVD
SAN JOSE, CA 95128-2563
Phone number: 408-721-4275
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Mailing Address
MICHELLE LONGSHORE OTR/L
3231 GOLF DR
SAN JOSE, CA 95127-1429
Phone number:
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