Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | 7446 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 7446 | CA |
NPI | 1063579720 |
---|---|
Provider Name | Mrs. Leilanie Dao |
First Address | Lake Forest, CA 92630-2169 |
Second Address | Rancho Santa Margarita, CA 92688-2137 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 26/11/2016 |