Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1255570727 |
---|---|
Provider Name | Ms. Ferris Sang Eun Pai |
First Address | Los Angeles, CA 90006 |
Second Address | Los Angeles, CA 90006-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |