NPI 1649672924

Taejun Lee, COTAL

Practitioner Occupational Therapy Assistant Fontana, CA

Practice location

Address: 7077 Hope CT, Fontana, CA 92336-4457
Phone: (951) 903-8784

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA2872 (CA)

Other Occupational Therapy Assistant providers in California →

Registry record

NPI: 1649672924
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Sep 2014
Record last updated: 18 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.