Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ED A DETELS, OT
ActiveED A DETELS, OT is a Occupational Therapist healthcare provider located in NEWPORT BEACH, California. NPI 1427033604 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1427033604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.635297947855 yrs)
- Last Updated
- Oct 18, 2012
- License
-
OT1096 (CA)
Practice Information
- Address
-
200 NEWPORT CENTER DR#213NEWPORT BEACH, CA, 926607501Browse CA providers · Browse ZIP 92660
- Phone
- 9496441322
- Fax
- 9496440316
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE SIEGEL | M.A. | 1316926462 |
| VICTORIA ADAMS | — | 1760418537 |
| MS. CHERYL NITTA | — | 1669730222 |
| MRS. KATELYN MICKLE | OTR/L | 1801269493 |
| KRISTIN TAYLOR | — | 1679021596 |
| MICHELLE PEGLER | OT | 1336672146 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.