Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT434 | CA |
NPI | 1225090483 |
---|---|
Provider Name | Leslie M Aoto |
First Address | San Diego, CA 92130 |
Second Address | San Diego, CA 92130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 19/07/2012 |