Individual
JENNIE NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, 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
(949) 252-9946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7462
CA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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