Individual
JENNIE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
11680 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2513
(562) 257-8910
Mailing address
11680 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2513
(562) 257-8910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
441142
CA
Other
Enumeration date
07/07/2021
Last updated
02/28/2025
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