Individual
MICHELLE NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
2524 E JACKSON AVE, ORANGE, CA 92867-6255
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
20948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20948
CBOT
CA
Enumeration date
11/03/2022
Last updated
11/03/2022
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