MARY THERESE ETAYEB OTR NPI 1790982858

NPI Information

NPI: 1790982858
Provider Name: MARY THERESE ETAYEB, OTR
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP Address:
6041 CADILLAC AVE
LOS ANGELES, CA
ZIP 90034
Phone: (323) 857-2536
Get Directions

Mary Therese Etayeb, OTR is a hand occupational therapist in Los Angeles, CA with 38 years of experience. Mary Therese Etayeb, OTR NPI is 1790982858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6041 CADILLAC AVE
LOS ANGELES, CA
ZIP 90034-702
Phone: (323) 857-2536
Fax: (323) 857-3736

The enumeration date for this NPI number is 6/29/2007 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	5942	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »