Mikaela Ann Taheri
Occupational Therapist
456 E Grand Ave
Escondido
, California 92025-3319
Mikaela Ann Taheri
Occupational Therapist
456 E Grand Ave
Escondido
, California 92025-3319
(425) 327-2787
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mikaela Ann Taheri
- 4945 Haight Trl
- San Diego, CA
- Zip : 92123-6427
- Phone : (425) 327-2787
Second Address
- Mikaela Ann Taheri
- 456 E Grand Ave
- Escondido, CA
- Zip : 92025-3319
- Phone : (760) 740-6301
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 13394 |
National Provider Identifier
| NPI | 1003258039 |
|---|---|
| Provider Name | Mikaela Ann Taheri |
| First Address | San Diego, CA 92123-6427 |
| Second Address | Escondido, CA 92025-3319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2013 |
| Last Update Date | 02/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13394 | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY (01) | CA |
| 308403 | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.