Individual
JIMMY LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7526 WEBSTER ST, HIGHLAND, CA 92346-3817
(909) 963-8972
(909) 963-8972
Mailing address
7526 WEBSTER ST, HIGHLAND, CA 92346-3817
(909) 963-8972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47964
CA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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