Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT729 | CA |
NPI | 1124126313 |
---|---|
Provider Name | Robin Dushkin |
First Address | Encinitas, CA 92024 |
Second Address | Encinitas, CA 92024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |