Individual
EUNJI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1720 E 14TH ST STE M1, BROOKLYN, NY 11229-2088
(347) 769-0494
Mailing address
5120 GOLDSMITH ST APT 2F, ELMHURST, NY 11373-4241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026413
NY
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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