Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 91-6242 | CA |
N | 225XE1200X | Ergonomics | 91-6242 | CA |
Y | 225XH1200X | Occupational Therapist - Hand | 91-6242 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 91-6242 | CA |
NPI | 1396758363 |
---|---|
Provider Name | Martha H Paterson |
First Address | Burbank, CA 91505-2818 |
Second Address | Burbank, CA 91506-2958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 18/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OT5293 | (02) |