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1790731677
THOMAS D PETZOLDT
SAN JOSE, CA
NPI
1790731677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT 5763)
Enumeration Date
2006-05-25
Last Update Date
2018-06-13
Business Address
-- THOMAS D PETZOLDT O.T.
1062 SARATOGA AVE
SAN JOSE, CA 95129-3402
Phone number: 408-261-7660
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Mailing Address
-- THOMAS D PETZOLDT O.T.
4010 MOORPARK AVE STE 103
SAN JOSE, CA 95117-1842
Phone number: 408-261-7660
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