Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT688 | CA |
N | 2251E1200X | Ergonomics | OT688 | CA |
N | 225XE1200X | Ergonomics | OT688 | CA |
N | 225XL0004X | Low Vision | OT688 | CA |
NPI | 1629414248 |
---|---|
Provider Name | Ms. Hazel Lau |
First Address | Alameda, CA 94502-6477 |
Second Address | Alameda, CA 94502-6477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2013 |
Last Update Date | 22/05/2013 |