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Individual

MAI KIM LU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.O.T.A

Contact information

Practice address
5001 STATESMAN DR, IRVING, TX 75063
(504) 723-7119
Mailing address
5001 STATESMAN DR, IRVING, TX 75063

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10615
FL
224Z00000X
Occupational Therapy Assistant
1852
CA
224Z00000X
Occupational Therapy Assistant
200048
LA
224Z00000X
Occupational Therapy Assistant
Primary
210027
TX

Other

Enumeration date
02/05/2010
Last updated
02/05/2010
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