Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 14366 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 14366 | CA |
NPI | 1164835674 |
---|---|
Provider Name | Elizabeth Ann Printz |
First Address | Studio City, CA 91604-4449 |
Second Address | North Hollywood, CA 91606-1571 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 03/06/2014 |