Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1871921239 |
---|---|
Provider Name | Mr. Gregory Vashon English |
First Address | Riverside, CA 92507-2337 |
Second Address | Riverside, CA 92507-2337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2013 |
Last Update Date | 19/08/2014 |