NPI 1811361140

Lily Mai Jamison, OTAL

Practitioner Occupational Therapy Assistant Costa Mesa, CA

Practice location

Address: 1700 Adams Ave STE. 103, Costa Mesa, CA 92626
Phone: (714) 556-2288
Fax: (714) 435-1745

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 835 (CA)

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Registry record

NPI: 1811361140
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2015
Record last updated: 24 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.