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1407511009
TAE KYUNG LEE
BRONX, NY
NPI
1407511009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 025464-01)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
TAE KYUNG LEE OTR/L
57 W BURNSIDE AVE
BRONX, NY 10453-4038
Phone number: 718-716-4400
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Mailing Address
TAE KYUNG LEE OTR/L
35 VALLEY AVE UNIT 104
ELMSFORD, NY 10523-3023
Phone number: 401-714-9481
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