Individual
ANGELA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1320 W PLAYER AVE, LA HABRA, CA 90631
(714) 403-5520
Mailing address
1320 W PLAYER AVE, LA HABRA, CA 90631-2085
(714) 403-5520
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
336852
CA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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