Provider Demographics
NPI:1649500893
Name:ORREY, ANN KATHLEEN (OTR/L)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:KATHLEEN
Last Name:ORREY
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 1:1608 GAMAY LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-4332
Mailing Address - Country:US
Mailing Address - Phone:925-989-5189
Mailing Address - Fax:
Practice Address - Street 1:7567 AMADOR VALLEY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2441
Practice Address - Country:US
Practice Address - Phone:925-829-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 2380225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics