Provider Demographics
NPI:1124196100
Name:BJORKMAN, LUANNE S (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:LUANNE
Middle Name:S
Last Name:BJORKMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:LUANNE
Other - Middle Name:
Other - Last Name:STANKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20201 CAPE COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-4407
Mailing Address - Country:US
Mailing Address - Phone:714-969-0675
Mailing Address - Fax:
Practice Address - Street 1:20201 CAPE COTTAGE LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-4407
Practice Address - Country:US
Practice Address - Phone:714-969-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist