Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 113232 | TX |
N | 225X00000X | Occupational Therapist | 13878 | FL |
Y | 225XG0600X | Occupational Therapist - Gerontology | 14634 | CA |
NPI | 1750601993 |
---|---|
Provider Name | Ms. Ria Hermosilla Mejia |
First Address | Chino, CA 91710-0101 |
Second Address | Claremont, CA 91711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2010 |
Last Update Date | 20/08/2018 |