Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT3411 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT 3411 | CA |
NPI | 1679606123 |
---|---|
Provider Name | Joan E Lerner |
First Address | Santa Cruz, CA 95060-2223 |
Second Address | Santa Cruz, CA 95060-2223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |