Individual
QUENNA G LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1948 CALIFORNIA STREET, SAN FRANCISCO, CA 94109
(703) 801-5672
Mailing address
63 SYLVAN DRIVE, SAN FRANCISCO, CA 94132
(415) 664-5247
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT19102
CA
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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