Individual
MELISSA LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 AVENIDA DEL MEXICO, UNIT 244, SAN DIEGO, CA 92154-1255
(407) 202-7378
Mailing address
1945 AVENIDA DEL MEXICO, UNIT 244, SAN DIEGO, CA 92154-1255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3317
CA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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