Individual
ALICIA J OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18350 MOUNT LANGLEY ST, 105, FOUNTAIN VALLEY, CA 92708-6900
(714) 965-2324
Mailing address
18350 MT. LANGLEY STREET, 105, IRVINE, CA 92708
(714) 965-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1321
NE
225XP0200X
Pediatric Occupational Therapist
Primary
10448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477702
—
NE
Enumeration date
01/18/2008
Last updated
04/13/2009
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