Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT8876 | CA |
N | 225XH1200X | Occupational Therapist - Hand | OT8876 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT8876 | CA |
NPI | 1346427606 |
---|---|
Provider Name | Mrs. Barbara A Talley |
First Address | Glendale, CA 91202-2813 |
Second Address | Glendale, CA 91202-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 29/01/2008 |