Lestari, Irene

Lestari, Irene is an sole proprietor health care provider with primary practice located at 2336 Winepol Loop , San Jose CA 95125-6635. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lestari, Irene can be contacted via phone (408) 547-7648.

Contact Information

Primary practice address
2336 Winepol Loop San Jose CA 95125-6635
Phone: (408) 547-7648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT7552 California

Profile Details

NPI number 1881866820
LBN Legal business name Lestari, Irene
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2008
Last updated Mar 31st, 2008 - about 18 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.

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