Individual provider · Type 1 NPI

Ed A. Detels, OT

Occupational Therapist · Newport Beach, CA

NPI number 1427033604 Active

Practice location

200 Newport Center Dr, #213
Newport Beach, CA 92660-7501

Call (949) 644-1322 Map

Fax (949) 644-0316

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT1096 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1427033604

Ed A. Detels, OT's National Provider Identifier is 1427033604, issued on Dec 12, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 18, 2012.