Individual
KATTY MIRELLA MANCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22691 LAMBERT ST STE 502, LAKE FOREST, CA 92630-1614
(949) 273-6503
Mailing address
22691 LAMBERT ST STE 502, LAKE FOREST, CA 92630-1614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
27906
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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