Healthcare Provider Details

I. General information

NPI: 1649500893
Provider Name (Legal Business Name): ANN KATHLEEN ORREY O.T.R./L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7567 AMADOR VALLEY BLVD SUITE 101
DUBLIN CA
94568-2441
US

IV. Provider business mailing address

1608 GAMAY LN
BRENTWOOD CA
94513-4332
US

V. Phone/Fax

Practice location:
  • Phone: 925-829-9555
  • Fax:
Mailing address:
  • Phone: 925-989-5189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 2380
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: