Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 15132 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 15132 | CA |
NPI | 1184168122 |
---|---|
Provider Name | Irene Ya-Ling Hsu |
First Address | Palo Alto, CA 94304-1207 |
Second Address | Palo Alto, CA 94304-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2016 |
Last Update Date | 09/12/2016 |