Individual
NICKY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6422 LARKSPUR CIR, HUNTINGTON BEACH, CA 92647-2309
(714) 869-8769
Mailing address
6422 LARKSPUR CIR, HUNTINGTON BEACH, CA 92647-2309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1710
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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