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:
Health care specialties
| Specialty | Code | License # | 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 16 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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