Provider Demographics
NPI:1922325141
Name:CABLAY, JOLANDA DELANGE
Entity Type:Individual
Prefix:
First Name:JOLANDA
Middle Name:DELANGE
Last Name:CABLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 VISTA DEL MONTE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-6335
Mailing Address - Country:US
Mailing Address - Phone:408-358-0201
Mailing Address - Fax:877-334-0714
Practice Address - Street 1:147 VISTA DEL MONTE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-6335
Practice Address - Country:US
Practice Address - Phone:408-358-0201
Practice Address - Fax:877-334-0714
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9134225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist