Organization
OT SPECIALISTS
Active
Organization
OT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH REPKE (PRESIDENT)
(626) 287-1723
Entity
Organization
Contact information
Practice address
5917 OAK AVE, PMB 121, TEMPLE CITY, CA 91780-2028
(626) 287-1723
(626) 791-4662
Mailing address
5917 OAK AVE, PMB 121, TEMPLE CITY, CA 91780-2028
(626) 287-1723
(626) 791-4662
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
1888
CA
225XP0200X
Pediatric Occupational Therapist
Primary
1888
CA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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