Individual
KAREN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
Mailing address
80 HARING ST, BERGENFIELD, NJ 07621-2024
(910) 297-5833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09075200
NJ
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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