Individual
ALICIA VAN WIJK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL/R
Contact information
Practice address
18700 BEACH BLVD, 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961
Mailing address
18700 BEACH BLVD, 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10454
CA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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