NPI 1881166502
Tera Thoreson
Practice location
- Address
- 2682 Santa Ana Ave APT 4, Costa Mesa, CA 92627-6623
- Phone
- (949) 579-0424
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1881166502
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Dec 2018
- Record last updated
- 19 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.