Individual
MR. JOHNY JOHN R LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1586 W SAN MARCOS BLVD, SAN MARCOS, CA 92078-4019
(760) 891-7007
(760) 471-7731
Mailing address
5022 CALLE ARQUERO, OCEANSIDE, CA 92057-2732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3720
CA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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