Individual
SANDRA SUNGMI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Mailing address
1410 S ZEKE AND ELSIE AVE, LA HABRA, CA 90631-6370
(562) 480-4282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4158
CA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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