Provider Demographics
NPI:1992996094
Name:QUAN, PATRICIA ENDOW (MA, OTR, CHT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ENDOW
Last Name:QUAN
Suffix:
Gender:F
Credentials:MA, OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 LOMITA BLVD
Mailing Address - Street 2:SUTIE 100M
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5021
Mailing Address - Country:US
Mailing Address - Phone:310-325-7404
Mailing Address - Fax:310-325-4971
Practice Address - Street 1:3500 LOMITA BLVD
Practice Address - Street 2:SUTIE 100M
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5021
Practice Address - Country:US
Practice Address - Phone:310-325-7404
Practice Address - Fax:310-325-4971
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 699225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist