Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 20091 | CA |
NPI | 1003445156 |
---|---|
Provider Name | Eric Yee |
First Address | Los Altos, CA 94024-6007 |
Second Address | Los Altos, CA 94024-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2020 |
Last Update Date | 01/04/2020 |