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Lan Carrico, MA, OTR/L

Occupational Therapist in San Dimas, CA. Individual provider (NPI-1).

NPI number1669849428
StatusActive
Last updated in NPPESApr 17, 2016

Details

NPI
1669849428
Entity type
Individual (NPI-1)
Name
Lan Carrico
Credential
MA, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2015
Last updated
Apr 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist11906CAYes

Practice location

1301 W Arrow Hwy
Suite 130
San Dimas, CA 91773-2330

Phone 909-222-2745 · Fax 909-929-0805

Mailing address

1301 W Arrow Hwy
Suite 130
San Dimas, CA 91773-2330

Phone 909-222-2745 · Fax 909-929-0805

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