| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CONSTANCE JIE LEW | 1023738564 | 2023-01-21 |
Constance Jie Lew is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023738564. Registration indicates Constance Jie Lew is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Constance Jie Lew OTD |
| Practice Office Address | 100 N BARRANCA ST STE 380 WEST COVINA, CA US |
| Practice Office Telephone | 6263318355 |
| Practice Office Fax | 6263318165 |
| Mailing Address | 1845 BUSINESS CENTER DR STE 127 SAN BERNARDINO, CA 924083434 US |
| Business Telephone | 9098909030 |
| Business Fax | 9098904393 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10470 Foothill Blvd Ste 101 | Rancho Cucamonga, CA 917303754 | 9099480411 / 9098904393 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 1023738564 | MEDICAID | CA |