Kristen Lee, DPT | |
1510 S Central Ave Ste 435, Glendale, CA 91204-2500 | |
(818) 550-9910 | |
Not Available |
Full Name | Kristen Lee |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1510 S Central Ave Ste 435, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568140051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304282 (California) | Primary |
Provider Name | Lee Orthopedic Institute A Professional Medical Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619197282 PECOS PAC ID: 4183782907 Enrollment ID: O20110923000423 |
Mailing Address | Practice Location Address |
---|---|
Kristen Lee, DPT 1510 S Central Ave Ste 435, Glendale, CA 91204-2500 Ph: (818) 550-9910 | Kristen Lee, DPT 1510 S Central Ave Ste 435, Glendale, CA 91204-2500 Ph: (818) 550-9910 |
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