Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 764 | CA |
NPI | 1003194879 |
---|---|
Provider Name | Lorraine Ann Arlington |
First Address | Apple Valley, CA 92307-1221 |
Second Address | Apple Valley, CA 92307-1221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2011 |
Last Update Date | 28/07/2011 |