Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XE0001X | Environmental Modification | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1427385533 |
---|---|
Provider Name | Jeselyn Ouano Delgado |
First Address | Harbor City, CA 90710-2847 |
Second Address | Whittier, CA 90606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2009 |
Last Update Date | 28/06/2019 |