Individual
MS. JANE M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. OTR/L
Contact information
Practice address
217 SHELDON ST APT C, EL SEGUNDO, CA 90245-3942
(310) 403-7268
Mailing address
217 SHELDON ST APT C, EL SEGUNDO, CA 90245-3942
(310) 403-7268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8316
CA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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