Individual
MRS. MI SUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868
(714) 509-4263
(714) 509-4271
Mailing address
4518 LASHEART DR, LA CANADA, CA 91011-2123
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT16073
CA
Other
Enumeration date
05/24/2016
Last updated
12/03/2018
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