Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6371 | CA |
NPI | 1275170870 |
---|---|
Provider Name | Mrs. Cherine Lisa Andrews |
First Address | Ventura, CA 93003-1023 |
Second Address | Oxnard, CA 93036-0612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2019 |
Last Update Date | 03/12/2019 |