Individual
CALVIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L
Contact information
Practice address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
(909) 481-7345
Mailing address
1810 GRACE AVE, ARCADIA, CA 91006-4630
(626) 316-3739
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
23081
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2019
Last updated
06/04/2022
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