Most Relevant Information
Provider Data
| NPI Number: | 1003454737 |
| Provider Name: | RENEE LIN |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 4480 |
Most Important Dates
| Enumeration Date: | 12/12/2019 |
| Last Updated: | 12/12/2019 |
Provider Practice Location
201 ALLEN AVE
GLENDALE
CA
912012803
Practice Location Phone/Fax
| Phone: | 8188458507 |
| Fax: |
Provider Mailing Location
3818 DURFEE AVE APT 3
EL MONTE
CA
917322554
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |