Individual
JENNIFER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W 7TH ST, SAN PEDRO, CA 90731-3320
(310) 519-6239
Mailing address
150 W 7TH ST, SAN PEDRO, CA 90731-3320
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
12293
CA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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