Organization
ACE CONSULTING GROUP
Active
Organization
ACE CONSULTING GROUP
Active
Other names
SELECTIVE REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SMITA D MISTRY OTR (OCCUPATIONAL THERAPIST)
(949) 475-1002
Entity
Organization
Contact information
Practice address
4341 BIRCH ST, STE 102, NEWPORT BEACH, CA 92660-1924
(949) 475-1002
(949) 475-1003
Mailing address
4341 BIRCH ST, SUITE 102, NEWPORT BEACH, CA 92660-1924
(949) 475-1002
(949) 475-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 594
CA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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