Provider Demographics
NPI:1821710948
Name:LUM, CINDY (OTR/L)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:LUM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 SILMAN ST
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-2772
Mailing Address - Country:US
Mailing Address - Phone:626-695-2696
Mailing Address - Fax:
Practice Address - Street 1:18911 NORDHOFF ST STE 37
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3774
Practice Address - Country:US
Practice Address - Phone:818-435-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24113225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand