Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 98 | CA |
NPI | 1073565271 |
---|---|
Provider Name | Maureen Cook |
First Address | Placentia, CA 92870-1635 |
Second Address | Placentia, CA 92870-1635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |