Individual
NINA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11420 BLONDO ST STE 103, OMAHA, NE 68164-3858
(402) 509-5532
Mailing address
15 BUCKINGHAM PL, CHERRY HILL, NJ 08003-2668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
470401
CA
225X00000X
Occupational Therapist
470401
OR
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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