Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT3498 | CA |
NPI | 1467667675 |
---|---|
Provider Name | Tracy Rehfeld Norton |
First Address | Chatsworth, CA 91311-6329 |
Second Address | Sherman Oaks, CA 91403-2910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |