Individual
TERENCE ABRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5696 LAKE MURRAY BLVD, LA MESA, CA 91942-1929
(619) 460-7871
Mailing address
7645 PACIFIC AVE APT 37, LEMON GROVE, CA 91945-2443
(909) 731-1917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
409743
CA
224Z00000X
Occupational Therapy Assistant
Primary
4713
CA
Other
Enumeration date
02/01/2019
Last updated
03/14/2023
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