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Individual

MS. JACKLYN LIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
15454 GALE AVE STE F, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Mailing address
1000 S CALIFORNIA ST, SAN GABRIEL, CA 91776-3019
(626) 905-0502

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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