Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 4710 | CA |
NPI | 1164803490 |
---|---|
Provider Name | Renee Figueira |
First Address | Lakewood, CA 90713-2601 |
Second Address | Lakewood, CA 90713-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2015 |
Last Update Date | 11/06/2015 |