Individual
IRENE LESTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2336 WINEPOL LOOP, SAN JOSE, CA 95125-6635
(408) 547-7648
Mailing address
2336 WINEPOL LOOP, SAN JOSE, CA 95125-6635
(408) 547-7648
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT7552
CA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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