Individual
YEA JINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12411 SLAUSON AVE STE H, WHITTIER, CA 90606-2835
(949) 275-2963
Mailing address
130 W VICTORIA ST, GARDENA, CA 90248-3523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225X00000X
Occupational Therapist
11656
CA
225XP0200X
Pediatric Occupational Therapist
Primary
11656
CA
Other
Enumeration date
02/15/2010
Last updated
05/17/2011
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