Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225X00000X | Occupational Therapist | 22705 | CA |
NPI | 1003489675 |
---|---|
Provider Name | Jodie Yap |
First Address | Pasadena, CA 91101-5120 |
Second Address | Monrovia, CA 91016-6424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2021 |
Last Update Date | 05/01/2022 |