Basic Information
| Provider Information | |||||||||
| NPI: | 1538378658 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAKELARIS | ||||||||
| FirstName: | PAIGE | ||||||||
| MiddleName: | PATRICE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | C.O.T.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6705 VISTA LOMA | ||||||||
| Address2: | |||||||||
| City: | YORBA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928866461 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 13950 MILTON ST. STE 306 | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926832939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143794484 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 1548 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.