Individual
JACQUELINE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11214 FOREST PASS CT, LIVE OAK, TX 78233-7236
(210) 381-7304
Mailing address
11214 FOREST PASS CT, LIVE OAK, TX 78233-7236
(210) 381-7304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213336
TX
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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