Provider Demographics
NPI:1770984643
Name:SEVIDAL, HUEY-RU TSAY (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:HUEY-RU
Middle Name:TSAY
Last Name:SEVIDAL
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23300 CINEMA DR
Mailing Address - Street 2:STE 240
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1776
Mailing Address - Country:US
Mailing Address - Phone:661-414-4031
Mailing Address - Fax:
Practice Address - Street 1:23300 CINEMA DR
Practice Address - Street 2:STE 240
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1776
Practice Address - Country:US
Practice Address - Phone:661-414-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 1766225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand