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Individual

ALICIA FAY MAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3418 LOMA VISTA RD, VENTURA, CA 93003-3016
(805) 765-4773
Mailing address
16 COLUMBINE LN, HILTON HEAD ISLAND, SC 29928-4214
(703) 517-8801

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118803
TX
225X00000X
Occupational Therapist
Primary
18457
CA
225X00000X
Occupational Therapist
3905
NM
225X00000X
Occupational Therapist
5227
SC
225X00000X
Occupational Therapist
5327
TN

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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