Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 121 | CA |
NPI | 1336500644 |
---|---|
Provider Name | Mrs. Amy Salinas |
First Address | Anaheim, CA 92808-2625 |
Second Address | Orange, CA 92868-3225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2016 |
Last Update Date | 14/03/2016 |