Individual
JEANETTE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E FOOTHILL BLVD STE 100, ARCADIA, CA 91006-2551
(833) 319-3969
Mailing address
PO BOX 661103, ARCADIA, CA 91066-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23219
CBOT
CA
Enumeration date
04/01/2022
Last updated
09/29/2022
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