Oldham, Alicia J

Oldham, Alicia J is an individual health care provider with primary practice located at 18350 Mount Langley St 105, Fountain Valley CA 92708-6900. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Oldham, Alicia J can be contacted via phone (714) 965-2324.

Contact Information

Primary practice address
18350 Mount Langley St 105 Fountain Valley CA 92708-6900
Phone: (714) 965-2324
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1321 Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 10448 California

Profile Details

NPI number 1598941643
LBN Legal business name Oldham, Alicia J
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Apr 13th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598941643 NPPES
Nebraska MEDICAID 47065477702

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