Provider Demographics
NPI:1992046619
Name:NUNO, ANN MARIE (OT/L)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:NUNO
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 GILROY HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-9730
Mailing Address - Country:US
Mailing Address - Phone:408-690-5343
Mailing Address - Fax:415-358-5895
Practice Address - Street 1:5820 GILROY HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-9730
Practice Address - Country:US
Practice Address - Phone:408-690-5343
Practice Address - Fax:415-358-5895
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4922225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist