Provider Demographics
NPI:1164810214
Name:TSAI, ALICE C (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:C
Last Name:TSAI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27442 PORTOLA PKWY
Mailing Address - Street 2:#200
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2823
Mailing Address - Country:US
Mailing Address - Phone:949-282-5900
Mailing Address - Fax:
Practice Address - Street 1:2800 N HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1727
Practice Address - Country:US
Practice Address - Phone:714-871-9202
Practice Address - Fax:714-871-9677
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 9089225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist