Provider Demographics
NPI:1871791871
Name:ASSOCIATED OCCUPATIONAL THERAPISTS INC.
Entity type:Organization
Organization Name:ASSOCIATED OCCUPATIONAL THERAPISTS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COTA
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:YAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:714-961-8288
Mailing Address - Street 1:101 S KRAEMER BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6110
Mailing Address - Country:US
Mailing Address - Phone:714-961-8288
Mailing Address - Fax:
Practice Address - Street 1:101 S KRAEMER BLVD STE 206
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6110
Practice Address - Country:US
Practice Address - Phone:714-961-8288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA982538174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty