Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5449 OT | CA |
N | 225X00000X | Occupational Therapist | 5449 OT PAM | CA |
N | 225X00000X | Occupational Therapist | AA364257 NBCOT | |
N | 225XH1200X | Occupational Therapist - Hand | 5449 OT HTC | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1083741193 |
---|---|
Provider Name | Alice J. Engelmann |
First Address | Sherman Oaks, CA 91401-5801 |
Second Address | North Hollywood, CA 91606-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 20/11/2007 |