Individual
MRS. LILY MAI JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1700 ADAMS AVE, STE. 103, COSTA MESA, CA 92626
(714) 556-2288
(714) 435-1745
Mailing address
1700 ADAMS AVE, STE. 103, COSTA MESA, CA 92626
(714) 556-2288
(714) 435-1745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
835
CA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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