Healthcare Provider Details

I. General information

NPI: 1902023229
Provider Name (Legal Business Name): ASSOCIATED OCCUPATIONAL THERAPISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 S. BEACH BLVD STE107
ANAHEIM CA
92804
US

IV. Provider business mailing address

101 S KRAEMER BLVD STE 206 STE 200
PLACENTIA CA
92870-6110
US

V. Phone/Fax

Practice location:
  • Phone: 714-826-8688
  • Fax: 714-826-8668
Mailing address:
  • Phone: 714-961-8288
  • Fax: 714-524-3753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT4044
License Number StateCA

VIII. Authorized Official

Name: GRACE MURAOKA-GOO
Title or Position: OWNER
Credential: OTR, CHT
Phone: 714-961-8288