Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | CA | |
N | 2251E1200X | Ergonomics | CA | |
N | 225XE1200X | Ergonomics | CA |
NPI | 1578815569 |
---|---|
Provider Name | Elsa Villarosa |
First Address | Porterville, CA 93257-7523 |
Second Address | Austin, TX 78746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2012 |
Last Update Date | 15/10/2012 |