Lucy Mulyatno
Lucy Mulyatno is an Occupational Therapist in Riverside, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
4334 Latham St Ste 110Riverside, CA 92501-1748
Phone: (909) 251-1321
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 24943 (CA) |
|---|
Record details
| NPI number | 1528757044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 4334 Latham St, Riverside, CA 92501-1748 |
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