Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 11022 | CA |
N | 225XE0001X | Environmental Modification | 11022 | CA |
N | 2251E1200X | Ergonomics | 11022 | CA |
N | 225XE1200X | Ergonomics | 11022 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | 11022 | CA |
N | 225XG0600X | Occupational Therapist - Gerontology | 11022 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 11022 | CA |
N | 2251H1300X | Human Factors | 11022 | CA |
N | 225XH1300X | Human Factors | 11022 | CA |
N | 225XL0004X | Low Vision | 11022 | CA |
N | 225XM0800X | Mental Health | 11022 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 11022 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 11022 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 11022 | CA |
N | 225XR0403X | Driving and Community Mobility | 11022 | CA |
NPI | 1376050633 |
---|---|
Provider Name | Michael Ang |
First Address | Pasadena, CA 91107-2143 |
Second Address | Pasadena, CA 91107-2143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2018 |
Last Update Date | 08/01/2018 |