Individual
MRS. AMY LACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 647-6157
Mailing address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 647-6157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
27358
CA
Other
Enumeration date
03/14/2018
Last updated
01/19/2026
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