MEDICARE: ASSOCIATED OCCUPATIONAL THERAPISTS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	982538	CA

General Provider Information

NPI Number	:	1871791871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED OCCUPATIONAL THERAPISTS INC.

Provider Business Mailing Address
First Line	:	101 S KRAEMER BLVD STE 206
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-6110
Country	:	US
Telephone Number	:	714-961-8288
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S KRAEMER BLVD STE 206
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-6110
Country	:	US
Telephone Number	:	714-961-8288
Fax Number	:

Authorized Official
Title or Position	:	COTA
Name	:	MR. JAY WALLACE YAEGER
Credential	:	COTA
Telephone Number	:	714-961-8288

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	01/22/2008

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