Individual
MS. JAIME LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7527 171ST ST, FRESH MEADOWS, NY 11366-1416
(347) 204-2087
Mailing address
67-28 73RD PLACE, MIDDLE VILLAGE, NY 11379
(347) 204-2087
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014064-1
NY
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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