Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OTR 12475 | CA |
NPI | 1013280155 |
---|---|
Provider Name | Kristina Leann Silverman |
First Address | Santa Clarita, CA 91351-2357 |
Second Address | Santa Clarita, CA 91351-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2012 |
Last Update Date | 21/02/2012 |