Healthcare Provider Details

I. General information

NPI: 1689890295
Provider Name (Legal Business Name): ASSOCIATED OCCUPATIONAL THERAPISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14682 CENTRAL AVE.
CHINO CA
91710
US

IV. Provider business mailing address

101 S KRAEMER BLVD STE. 206
PLACENTIA CA
92870-6105
US

V. Phone/Fax

Practice location:
  • Phone: 909-506-0194
  • Fax: 909-606-0389
Mailing address:
  • Phone: 714-961-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT4044
License Number StateCA

VIII. Authorized Official

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