MRS. Nicole Kubota Lussier, MOT R/L

NPI #1518199124 in San Clemente, California

Provider Information

NPI Number: 1518199124
Entity Type: Individual
Name: MRS. Nicole Kubota Lussier, MOT R/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT R/L
Enumeration Date: Aug 14, 2009
Last Updated: Aug 14, 2009

Practice Location

Address: 1120 VIA CALLEJON
Address 2: SUITE B
City: San Clemente
State: California
ZIP Code: 92673-6213
Phone: (949) 498-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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