Individual provider · NPI-1

Serena Abbott

Rehabilitation Practitioner · San Jose, CA

NPI number1285302562
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1285302562
Entity type
Individual (NPI-1)
Name
Serena Abbott
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2021
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
106S00000X Behavior Technician––

Practice location

1356 Ridder Park Dr
San Jose, CA 95131-2313

Phone 669-746-9928

Mailing address

9015 Murray Ave Ste 100
Gilroy, CA 95020-3675

Phone 669-746-9928

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