Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0119006953 | VA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT17632 | CA |
NPI | 1033647052 |
---|---|
Provider Name | Ashley Luchsinger |
First Address | Encinitas, CA 92024-2109 |
Second Address | Carlsbad, CA 92011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2017 |
Last Update Date | 08/08/2019 |