Individual
CONSTANCE JIE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
100 N BARRANCA ST STE 380, WEST COVINA, CA 91791-1652
(626) 331-8355
(626) 331-8165
Mailing address
1845 BUSINESS CENTER DR STE 127, SAN BERNARDINO, CA 92408-3434
(909) 890-9030
(909) 890-4393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023738564
—
CA
Enumeration date
09/02/2022
Last updated
04/29/2024
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