Provider Demographics
NPI:1346677457
Name:STAHLHUT, ISAAC XULIANG (OTR/L)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:XULIANG
Last Name:STAHLHUT
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-3833
Mailing Address - Country:US
Mailing Address - Phone:650-346-8114
Mailing Address - Fax:
Practice Address - Street 1:2100 WOODS LN
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-7154
Practice Address - Country:US
Practice Address - Phone:650-964-4330
Practice Address - Fax:650-964-7291
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13816225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics