Individual
ANGEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4324 212TH ST, BAYSIDE, NY 11361-2851
(347) 493-9267
Mailing address
4324 212TH ST, BAYSIDE, NY 11361-2851
(347) 493-9267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13765
BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
09/10/2013
Last updated
09/10/2013
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