Individual
ELAINE VICHECA LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 41ST ST, OAKLAND, CA 94611-5250
(510) 597-6700
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22556
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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