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NPI Code Detail

MEDICARE: DEANNA HARN LEE MSOT, OTR/L

MEDICARE: DEANNA HARN LEE MSOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist22369CA

General Provider Information

NPI Number : 1780250431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA HARN LEE MSOT, OTR/L
Provider Business Mailing Address
First Line : 585 SATURN BLVD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-4721
Country : US
Telephone Number : 619-591-1190
Fax Number : 619-565-1656
Provider Business Practice Location Address
First Line : 585 SATURN BLVD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-4721
Country : US
Telephone Number : 619-891-1190
Fax Number : 619-565-1656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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