Tiffany CHI

Individual provider Active NPI Occupational Therapist · La Puente, CA

NPI 1659720985 · NPPES record last updated Jun 7, 2016

Key facts

NPI
1659720985
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
13987 (CA)
Practice address
757 Greenberry Dr
La Puente, CA 91744-2639
Phone
(626) 297-0183
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13987CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13987 CA Yes

Addresses

Primary practice location

757 Greenberry Dr
La Puente, CA 91744-2639

Mailing address

757 Greenberry Dr
La Puente, CA 91744-2639

Other providers in La Puente, CA

All providers in La Puente, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.