Individual
MRS. KRISTINA M. BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA STE 100, LAGUNA HILLS, CA 92653-3648
(949) 916-1654
Mailing address
324 N PARKER ST, ORANGE, CA 92868-2231
(714) 470-5456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2452
CA
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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