Individual
AIMEE JOY DEPAKAKIBO LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W HUNTINGTON DR, ARCADIA, CA 91007-3470
(626) 445-2421
Mailing address
901 METRO DR, MONTEREY PARK, CA 91755-4233
(909) 438-1204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34948
PHYSICAL THERAPY
CA
Enumeration date
02/14/2023
Last updated
02/14/2023
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