Basic Information
Provider Information
NPI: 1447281480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APFEL
FirstName: EILEEN
MiddleName: RUTH
NamePrefix: MS.
NameSuffix:  
Credential: OTR,CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 709 E SOLANA CIR
Address2:  
City: SOLANA BEACH
State: CA
PostalCode: 920752355
CountryCode: US
TelephoneNumber:  
FaxNumber: 8585527452
Practice Location
Address1: 709 E SOLANA CIR
Address2:  
City: SOLANA BEACH
State: CA
PostalCode: 920752355
CountryCode: US
TelephoneNumber: 8585528585
FaxNumber: 8585527452
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X255CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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