Individual
KASSIDY LIEN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10999463-4201
UT
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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