Individual
TERESA CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16631 NOYES AVE, IRVINE, CA 92606-5138
(949) 252-9946
Mailing address
16631 NOYES AVE, IRVINE, CA 92606-5138
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21483
CA
Other
Enumeration date
09/30/2020
Last updated
10/05/2020
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