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Individual

ANNA G LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3 MEDICAL PLAZA DR STE 100, ROSEVILLE, CA 95661-3088
(916) 797-4734
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
(916) 503-7513

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16450
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16450
CA OCCUPATIONAL THERAPY BOARD
CA
Enumeration date
09/27/2016
Last updated
03/14/2019
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