Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1423 | CA |
NPI | 1043545247 |
---|---|
Provider Name | Mrs. Ashwini Vaze |
First Address | Hacienda Heights, CA 91745-1500 |
Second Address | Hacienda Heights, CA 91745-1500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2009 |
Last Update Date | 06/10/2009 |