Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 21710 | CA |
NPI | 1346991072 |
---|---|
Provider Name | Vita Naujokaitis |
First Address | San Diego, CA 92104-5252 |
Second Address | Encinitas, CA 92024-3919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2022 |
Last Update Date | 13/01/2022 |