Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5516 | CA |
NPI | 1134271299 |
---|---|
Provider Name | Loann Kim Do |
First Address | Aptos, CA 95003-2814 |
Second Address | Watsonville, CA 95076-3727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |