Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1889 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 1889 | CA |
NPI | 1003141557 |
---|---|
Provider Name | Mrs. Robin Christy Schlundt Bodien |
First Address | Simi Valley, CA 93065-1332 |
Second Address | Simi Valley, CA 93065-1332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2009 |
Last Update Date | 15/10/2009 |