Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 11661 | CA |
NPI | 1235421322 |
---|---|
Provider Name | Ms. Phoebe Ning |
First Address | Long Beach, CA 90807-2682 |
Second Address | Long Beach, CA 90807-2682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 06/05/2011 |