Individual
MR. GINA HARPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6302 HENRILEE ST, LAKEWOOD, CA 90713-2612
(562) 889-5970
Mailing address
6302 HENRILEE ST, LAKEWOOD, CA 90713-2612
(562) 889-5970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6603
CA
225XP0200X
Pediatric Occupational Therapist
6603
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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