Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 7276 | CA |
N | 2251E1200X | Ergonomics | 7276 | CA |
N | 225XE1200X | Ergonomics | 7276 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 7276 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 7276 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 7276 | CA |
NPI | 1346594884 |
---|---|
Provider Name | Ruth S. Tanouye |
First Address | Los Angeles, CA 90045-2455 |
Second Address | Los Angeles, CA 90045-2455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2012 |
Last Update Date | 06/11/2012 |