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NPI Code Detail

MEDICARE: DR. ESTHER LEE D.P.T.

MEDICARE: DR. ESTHER LEE D.P.T.
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
1225100000XPhysical Therapist33455CA

General Provider Information

NPI Number : 1366585044
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESTHER LEE D.P.T.
Provider Business Mailing Address
First Line : 837 S BERENDO ST APT 1
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-1809
Country : US
Telephone Number : 714-743-2580
Fax Number :
Provider Business Practice Location Address
First Line : 435 N BEDFORD DR STE 102
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4319
Country : US
Telephone Number : 310-385-9064
Fax Number : 310-385-9264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/08/2007

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