David Firnkoess, OTR

Individual provider Active NPI Occupational Therapist · Patton, CA

NPI 1851697346 · NPPES record last updated Feb 6, 2014

Key facts

NPI
1851697346
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT 3459 (CA)
Practice address
3102 E Highland Ave
Patton, CA 92369-7813
Phone
(909) 425-0000
NPI assigned
Feb 1, 2011
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
OT 3459CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 3459 CA Yes

Addresses

Primary practice location

3102 E Highland Ave
Patton, CA 92369-7813

Mailing address

3102 E Highland Ave
Patton, CA 92369-7813
Phone (909) 425-0000

Other providers in Patton, CA

All providers in Patton, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.