Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT16137 | CA |
NPI | 1013370709 |
---|---|
Provider Name | Mrs. Sara Huntley |
First Address | Morgan Hill, CA 95037-7318 |
Second Address | Morgan Hill, CA 95037-7318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 31/03/2016 |