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Individual

JONATHAN S LUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1902 ROYALTY DR STE 220, POMONA, CA 91767-3056
(909) 622-0006
(909) 622-0007
Mailing address
1845 BUSINESS CENTER DR STE 127, SAN BERNARDINO, CA 92408-3434
(909) 890-9030
(909) 890-4393

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
455199
CA

Other

Enumeration date
07/27/2021
Last updated
09/27/2022
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