Andre Carrington, OTR/L

Individual provider Active NPI Occupational Therapist · Highland, CA

NPI 1821320862 · NPPES record last updated Feb 1, 2010

Key facts

NPI
1821320862
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3989 (CA)
Practice address
7851 La Monica St
Highland, CA 92346-6358
Phone
(909) 798-7824
Fax
(909) 798-7824
NPI assigned
Feb 1, 2010
Sex
Male
Sole proprietor
Yes

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
3989CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3989 CA Yes

Addresses

Primary practice location

7851 La Monica St
Highland, CA 92346-6358

Mailing address

7851 La Monica St
Highland, CA 92346-6358
Phone (909) 798-7824

Other providers in Highland, CA

All providers in Highland, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.