Ivy Lee, OTS

NPI #1316676893 in Whitestone, New York

Provider Information

NPI Number: 1316676893
Entity Type: Individual
Name: Ivy Lee, OTS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: OTS
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 15111 21ST AVE
City: Whitestone
State: New York
ZIP Code: 11357-3703
Phone: (347) 968-3868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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