Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 20978 | CA |
NPI | 1033745864 |
---|---|
Provider Name | Yang Yu |
First Address | El Cerrito, CA 94530-3611 |
Second Address | El Cerrito, CA 94530-3611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2020 |
Last Update Date | 12/03/2020 |