Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 14069 | CA |
NPI | 1174297634 |
---|---|
Provider Name | Norane Abdo |
First Address | Loma Linda, CA 92354-3453 |
Second Address | Redlands, CA 92373-3903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2021 |
Last Update Date | 06/08/2021 |