Healthcare Provider Details

I. General information

NPI: 1336091701
Provider Name (Legal Business Name): ISABELLA AGUIRRE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 EL CAMINO REAL
SAN CARLOS CA
94070-2408
US

IV. Provider business mailing address

1301 DAVID ST APT 125
SAN MATEO CA
94403-1911
US

V. Phone/Fax

Practice location:
  • Phone: 650-206-9468
  • Fax:
Mailing address:
  • Phone: 650-206-9468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number28507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: