Individual
ANDREA LUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11348 TOWN COUNTRY DR, RIVERSIDE, CA 92505-3638
(951) 263-8172
Mailing address
11348 TOWN COUNTRY DR, RIVERSIDE, CA 92505-3638
(951) 263-8172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5676
CA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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