Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 6326 | CA |
NPI | 1275857039 |
---|---|
Provider Name | Stefanie Flory |
First Address | La Mesa, CA 91942-6712 |
Second Address | La Mesa, CA 91942-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2010 |
Last Update Date | 23/03/2010 |