Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 6756 | CA |
NPI | 1134409451 |
---|---|
Provider Name | Julie To |
First Address | Los Angeles, CA 90024-2704 |
Second Address | Los Angeles, CA 90024-2704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2011 |
Last Update Date | 17/08/2011 |