Individual
KEVIN-PHI LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1456 BUTLER AVE, LOS ANGELES, CA 90025-2402
(714) 856-2568
Mailing address
1606 N HURON DR, SANTA ANA, CA 92706-3138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
121479
TX
225X00000X
Occupational Therapist
Primary
19325
CA
Other
Enumeration date
12/11/2023
Last updated
02/10/2025
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