Individual
ANDREA FAUGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
322 E PALMYRA AVE, ORANGE, CA 92866-2048
(772) 631-6877
Mailing address
322 E PALMYRA AVE, ORANGE, CA 92866-2048
(772) 631-6877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18506
CA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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