Individual
NINA LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3885
Mailing address
3011 FLORA VIS, ALAMEDA, CA 94502-6817
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1505
CA
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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