PATRICIA ANN KOERNER O.T.
NPI 1578636445
Occupational Therapist - Neurorehabilitation in Tustin, CA
Active since November 16, 2006
About Patricia Ann Koerner O.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA ANN KOERNER O.T. (NPI 1578636445) is an individual neurorehabilitation provider in Tustin, California, licensed in California (OT650) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1578636445
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NamePATRICIA ANN KOERNERCredential: O.T.
Location Address17352 VINEWOOD AVETustin, CA 92780-2551
Mailing Address17352 Vinewood AveTustin, CA 92780-2551 · (714) 730-1525 · Fax (714) 730-0369
Phone(714) 730-1525
Fax(714) 730-0369
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 16, 2018
✔ NPI 1578636445 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in CA · OT650
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT650 (CA)
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X · License OT650 (CA)
17352 VINEWOOD AVE, Tustin, CA 92780
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578636445, enumerated as an "individual" on November 16, 2006.
The provider is located at 17352 VINEWOOD AVE TUSTIN, CA 92780 and the phone number is (714) 730-1525.
Occupational Therapist with taxonomy code 225XN1300X and a focus in Neurorehabilitation.
