MEDICARE: MRS. LUANNE S BJORKMAN OTRL

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	225X00000X	Occupational Therapist	37	CA

General Provider Information

NPI Number	:	1124196100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUANNE S BJORKMAN OTRL

Provider Business Mailing Address
First Line	:	20201 CAPE COTTAGE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4407
Country	:	US
Telephone Number	:	714-969-0675
Fax Number	:

Provider Business Practice Location Address
First Line	:	20201 CAPE COTTAGE LN
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-4407
Country	:	US
Telephone Number	:	714-969-0675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/08/2007

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