NPI | 1710434022 |
---|---|
Other Name | PHILLIP LEE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20432) |
Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: CA 20432) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-02 |
Last Update Date | 2019-09-30 |