Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 8252 | CA |
NPI | 1003491473 |
---|---|
Provider Name | Ms. Danan Huynh |
First Address | Alhambra, CA 91801-2711 |
Second Address | Lomita, CA 90717-3521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2021 |
Last Update Date | 16/03/2021 |