Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT348 | CA |
NPI | 1104975267 |
---|---|
Provider Name | Lisa Aikins |
First Address | Lompoc, CA 93436-7027 |
Second Address | Lompoc, CA 93436-7027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 23/01/2019 |