Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | OT 7149 | CA |
N | 225XL0004X | Low Vision | OT 7149 | CA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 7149 | CA |
NPI | 1184888331 |
---|---|
Provider Name | Ms. Daisy Chen |
First Address | Pasadena, CA 91106-1047 |
Second Address | Pasadena, CA 91106-1047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 06/10/2021 |