Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XL0004X | Low Vision | 18549 | CA |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 18549 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 18549 | CA |
NPI | 1992316681 |
---|---|
Provider Name | Cristin M. Zeisler |
First Address | El Segundo, CA 90245-2511 |
Second Address | El Segundo, CA 90245-2511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2020 |
Last Update Date | 14/08/2020 |