Individual
JUSTIN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
200 W WHITTIER BLVD, LA HABRA, CA 90631-3877
(562) 691-1200
Mailing address
200 W WHITTIER BLVD, LA HABRA, CA 90631-3877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26303
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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