Individual
LOLA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1827 E 4TH ST, APT 11, LONG BEACH, CA 90802-3857
(718) 327-4199
Mailing address
1827 E 4TH ST, APT 11, LONG BEACH, CA 90802-3857
(718) 327-4199
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12018
CA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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