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Individual

MISS PEE PONG LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
100 CHESTER ST., BROOKLYN, NY 11212
(718) 385-6200
Mailing address
100 CHESTER ST., BROOKLYN, NY 11212
(718) 385-6200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014196-1
NY
225XG0600X
Gerontology Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
014196-1
NY
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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