Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1469 | CA |
NPI | 1275793747 |
---|---|
Provider Name | Mrs. Lynda L Schram |
First Address | Los Angeles, CA 90045-3433 |
Second Address | Culver City, CA 90230-6670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 08/04/2013 |