Individual
MRS. GRACE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20904 28TH RD, BAYSIDE, NY 11360-2413
(917) 733-6004
Mailing address
333 GRAND AVE APT 4L, PALISADES PARK, NJ 07650-1250
(917) 733-6004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015016
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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