Individual
JUDY THUY LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
6712 CAPPS AVE, RESEDA, CA 91335-5208
(818) 401-5643
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18608
CA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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