MEDICARE: MANDY LENTINI

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	224Z00000X	Occupational Therapy Assistant	2080	CA

General Provider Information

NPI Number	:	1154710143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANDY LENTINI

Provider Business Mailing Address
First Line	:	1583 N MORNINGSIDE ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-4444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1583 N MORNINGSIDE ST
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-4444
Country	:	US
Telephone Number	:	714-865-7569
Fax Number	:

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

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	01/14/2015

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Directions to “ MANDY LENTINI ” Practice Location

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