Individual
BRIDGET LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(619) 445-2644
Mailing address
16410 BLOOMFIELD AVE STE B, CERRITOS, CA 90703-2144
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225XM0800X
Mental Health Occupational Therapist
24433
CA
Other
Enumeration date
04/09/2019
Last updated
03/15/2023
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