Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 23236 | CA |
NPI | 1942952502 |
---|---|
Provider Name | Miss Kanika Eng |
First Address | Rowland Heights, CA 91748-3712 |
Second Address | Rowland Heights, CA 91748-3712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2022 |
Last Update Date | 24/01/2022 |