Individual
MERI ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L,MLD
Contact information
Practice address
39 KENTWORTH, IRVINE, CA 92602-0110
(714) 812-0064
(714) 505-0011
Mailing address
39 KENTWORTH, IRVINE, CA 92602-0110
(714) 812-0064
(714) 505-0011
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT887
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT887
OCCUPATIONAL THERAPY LICENSE
CA
Enumeration date
02/20/2014
Last updated
02/20/2014
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