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NPI Code Detail

MEDICARE: ANDREW LEE DPT

MEDICARE:   ANDREW  LEE  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist1241070TX
2225100000XPhysical Therapist2305208551VA

General Provider Information

NPI Number : 1235541616
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW LEE DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 5348 WYNDHAM FOREST DR
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-5941
Country : US
Telephone Number : 804-533-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2014
Last Update Date : 04/04/2025

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