Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 17-01264 | KS |
Y | 225X00000X | Occupational Therapist | 9382 | CA |
NPI | 1003004102 |
---|---|
Provider Name | Laurie Christina Loewenstein |
First Address | San Marcos, CA 92078-4250 |
Second Address | Encinitas, CA 92024-5142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 06/01/2010 |