Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | ||
N | 225CA2400X | Assistive Technology Practitioner |
NPI | 1407974736 |
---|---|
Provider Name | Rosalie Ochoa |
First Address | San Gabriel, CA 91776-2230 |
Second Address | Commerce, CA 90040-2418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |