Individual
IRENE SONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Mailing address
5333 KNOXVILLE AVE, LAKEWOOD, CA 90713-1734
(626) 532-5256
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15729
CA
225X00000X
Occupational Therapist
Primary
OT 15729
CA
Other
Enumeration date
09/02/2015
Last updated
04/14/2026
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