Provider Demographics
NPI:1790099752
Name:MCNEIL, AKEMI NOELE (MA, OTR/L)
Entity Type:Individual
Prefix:
First Name:AKEMI
Middle Name:NOELE
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:AKEMI
Other - Middle Name:NOELE
Other - Last Name:DAVIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5762 BOLSA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1172
Mailing Address - Country:US
Mailing Address - Phone:714-292-2322
Mailing Address - Fax:714-866-4153
Practice Address - Street 1:5762 BOLSA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1172
Practice Address - Country:US
Practice Address - Phone:714-292-2322
Practice Address - Fax:714-866-4153
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7905225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-6154473OtherPEDIATRIC CLINIC