Individual
MISS LORI ANN MILLERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1957 W HARLE AVE, ANAHEIM, CA 92804-6020
(714) 335-3614
(714) 772-6271
Mailing address
1957 W HARLE AVE, ANAHEIM, CA 92804-6020
(714) 335-3614
(714) 772-6271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1407
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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