Individual
ETHEL LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5030 MAPLEWOOD AVE APT 205, LOS ANGELES, CA 90004-2531
(323) 462-1030
Mailing address
5030 MAPLEWOOD AVE APT 205, LOS ANGELES, CA 90004-2531
(323) 462-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9773
CA
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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