Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1907 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1907 | CA |
NPI | 1821245218 |
---|---|
Provider Name | Allison Chu |
First Address | San Gabriel, CA 91775-1624 |
Second Address | San Gabriel, CA 91775-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 27/08/2008 |