Lee, Carissa
Lee, Carissa is an individual health care provider with primary practice located at 6177 River Crest Dr A, Riverside CA 92507-0728. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lee, Carissa can be contacted via phone (951) 653-4480.Contact Information
Primary practice address
6177 River Crest Dr A
Riverside CA 92507-0728
Phone: (951) 653-4480
Fax: (951) 653-5051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 16353 | California |
Profile Details
| NPI number | 1992256747 |
|---|---|
| LBN Legal business name | Lee, Carissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2016 |
| Last updated | Oct 17th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992256747 | NPPES |
| California | Other | 16353 | LICENSE |
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