Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 8403 | CA |
NPI | 1477633683 |
---|---|
Provider Name | Mrs. Beatriz Shilts |
First Address | San Diego, CA 92126-7411 |
Second Address | San Diego, CA 92126-7411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |