Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 1908 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 1908 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 1908 | CA |
NPI | 1801848858 |
---|---|
Provider Name | Marsha Owen |
First Address | Santa Ana, CA 92704-4111 |
Second Address | Santa Ana, CA 92701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 06/03/2019 |