Healthcare Provider Details

I. General information

NPI: 1871669911
Provider Name (Legal Business Name): ASSOCIATED OCCUPATIONAL THERAPISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 714-961-8288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: GRACE MURAOKA-GOO
Title or Position: C.E.O.
Credential:
Phone: 714-961-8288