Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 16768 | CA |
NPI | 1003337361 |
---|---|
Provider Name | Deanna Ngo |
First Address | Santa Ana, CA 92705-7911 |
Second Address | Orange, CA 92868-3837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 04/04/2019 |