Individual
PATRICIA ANN KOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17352 VINEWOOD AVE, TUSTIN, CA 92780-2551
(714) 730-1525
(714) 730-0369
Mailing address
17352 VINEWOOD AVE, TUSTIN, CA 92780-2551
(714) 730-1525
(714) 730-0369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT650
CA
225XH1200X
Hand Occupational Therapist
OT650
CA
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT650
CA
Other
Enumeration date
11/16/2006
Last updated
09/16/2018
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