Individual
MARIA THERESE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BOSQUE AVE, FAIRFAX, CA 94930-2202
(415) 713-0894
Mailing address
90 BOSQUE AVE, FAIRFAX, CA 94930-2202
(415) 713-0894
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT2391
CA
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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