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Individual
JI SOO LEE
Active
Individual
JI SOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96269
CA
225X00000X
Occupational Therapist
Primary
27117
CA
Other
Enumeration date
08/20/2019
Last updated
09/18/2026
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