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Individual

JONATHAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
43875 WASHINGTON ST STE G, PALM DESERT, CA 92211-8249
(760) 701-5046
(888) 490-0261
Mailing address
2152 ROOT ST, FULLERTON, CA 92833-5664
(714) 326-8412

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22802
CA

Other

Enumeration date
11/06/2021
Last updated
11/06/2021
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