Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT 3427 | CA |
NPI | 1134179724 |
---|---|
Provider Name | Mrs. Audrey Dewhirst |
First Address | Torrance, CA 90503-1517 |
Second Address | Torrance, CA 90503-1517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 02/12/2021 |