Individual
JESSICA Y LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15201 BEACH BLVD STE A, WESTMINSTER, CA 92683-6243
(714) 373-4555
Mailing address
6132 MONTECITO DR, HUNTINGTON BEACH, CA 92647-3223
(714) 722-4602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17763
CA
Other
Enumeration date
08/30/2022
Last updated
09/11/2022
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