Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1217 | CA |
NPI | 1407324734 |
---|---|
Provider Name | Donald David Ajluni |
First Address | Visalia, CA 93292-2026 |
Second Address | Visalia, CA 93292-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2018 |
Last Update Date | 05/11/2018 |