Individual
LUKE JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8235 E 116TH ST STE 220, FISHERS, IN 46038-1554
(317) 813-2100
(317) 813-2101
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008403A
IN
225X00000X
Occupational Therapist
520103665
MI
Other
Enumeration date
06/20/2024
Last updated
06/05/2025
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