Provider Demographics
NPI:1942530837
Name:DEL MORAL, NATALIE P (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:P
Last Name:DEL MORAL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:R
Other - Last Name:DEL MORAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:1520 PARKMOOR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2420
Mailing Address - Country:US
Mailing Address - Phone:408-241-9911
Mailing Address - Fax:408-241-7788
Practice Address - Street 1:1520 PARKMOOR AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2420
Practice Address - Country:US
Practice Address - Phone:408-241-9911
Practice Address - Fax:408-241-7788
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 10537225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist