Most Relevant Information
Provider Data
| NPI Number: | 1003311523 |
| Provider Name: | ANDREA FAUGSTAD OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 18506 |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
322 E PALMYRA AVE
ORANGE
CA
928662048
Practice Location Phone/Fax
| Phone: | 7726316877 |
| Fax: |
Provider Mailing Location
322 E PALMYRA AVE
ORANGE
CA
928662048
Provider Mailing Phone/Fax
| Phone: | 7726316877 |
| Fax: |