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Individual

MR. JIM LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1290
(650) 493-5000
Mailing address
191 PALM RIDGE LN, SAN JOSE, CA 95123-2684
(408) 821-8412

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19922
CA

Other

Enumeration date
10/26/2020
Last updated
10/26/2020
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