Provider Demographics
NPI:1346627346
Name:NORRIS, LIAN LIN (OT)
Entity type:Individual
Prefix:
First Name:LIAN
Middle Name:LIN
Last Name:NORRIS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CONTINENTAL BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-5043
Mailing Address - Country:US
Mailing Address - Phone:424-225-1845
Mailing Address - Fax:
Practice Address - Street 1:300 CONTINENTAL BLVD STE 150
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5043
Practice Address - Country:US
Practice Address - Phone:424-225-1845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22733225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation