Individual
MISS EUN-JIN BIBIANNA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00355800
NJ
Other
Enumeration date
01/03/2008
Last updated
04/08/2020
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