Samantha Ichikawa

NPI #1982317533 in Cupertino, California

Provider Information

NPI Number: 1982317533
Entity Type: Individual
Name: Samantha Ichikawa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 28, 2022
Last Updated: Dec 28, 2022

Practice Location

Address: 10125 S DE ANZA BLVD
City: Cupertino
State: California
ZIP Code: 95014-2105
Phone: (408) 865-1365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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