Provider Demographics
NPI:1619337540
Name:SILKENSEN, ROB JR (OT/L)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:
Last Name:SILKENSEN
Suffix:JR
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11814 N CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2337
Mailing Address - Country:US
Mailing Address - Phone:310-293-0544
Mailing Address - Fax:
Practice Address - Street 1:11814 N CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2337
Practice Address - Country:US
Practice Address - Phone:310-293-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1518225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist