| 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 |