Individual
JONATHAN TIN CHEE LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 432-2660
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3188
CA
Other
Enumeration date
05/21/2007
Last updated
07/24/2015
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