Individual
LORI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
124 HEARTHSTONE DR, BERLIN, NJ 08009-9550
(856) 304-0718
Mailing address
4639 35TH ST UNIT 1, SAN DIEGO, CA 92116-3571
(856) 304-0718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10848
CA
Other
Enumeration date
09/23/2009
Last updated
06/08/2023
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