Individual
KENNY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 S ANAHEIM BLVD STE 150, ANAHEIM, CA 92805-6205
(714) 776-1231
(714) 776-0802
Mailing address
1360 S ANAHEIM BLVD STE 150, ANAHEIM, CA 92805-6205
(714) 776-1231
(714) 776-0802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
440139
CA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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