Healthcare Provider Details

I. General information

NPI: 1548177884
Provider Name (Legal Business Name): NORMA CELESTE HORARIO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39650 LIBERTY ST STE 140
FREMONT CA
94538-2225
US

IV. Provider business mailing address

1781 RAILWAY CIR
OAKLAND CA
94607-1659
US

V. Phone/Fax

Practice location:
  • Phone: 341-225-5429
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number29477
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: