Organization
IRVINE THERAPY SERVICES, INC.
Active
Organization
IRVINE THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA MOHAN MA OTR L (PRESIDENT)
(949) 252-9946
Entity
Organization
Contact information
Practice address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
(949) 559-4366
Mailing address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
(949) 559-4366
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ 06841 Z
BLUE SHIELD
CA
Enumeration date
03/22/2007
Last updated
08/22/2020
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