Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1053990853 |
---|---|
Provider Name | Mr. Juan Felipe Arroyo Garcia |
First Address | Palm Springs, CA 92262-2726 |
Second Address | Palm Springs, CA 92262-2726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 07/04/2021 |