Provider Demographics
NPI:1912532425
Name:CRITCHFIELD, MONICA CRISTINA GUZMAN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:CRISTINA GUZMAN
Last Name:CRITCHFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:CRISTINA
Other - Last Name:GUZMAN PARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38039 VALLEJO ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-1745
Mailing Address - Country:US
Mailing Address - Phone:510-427-6604
Mailing Address - Fax:
Practice Address - Street 1:26660 PATRICK AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-3808
Practice Address - Country:US
Practice Address - Phone:510-427-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14933225XN1300X, 225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation