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NPI Code Detail

MEDICARE: KARENA LEE PT/DPT

MEDICARE: KARENA LEE PT/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
12251P0200XPediatric Physical TherapistPT 34780CA

General Provider Information

NPI Number : 1205060738
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARENA LEE PT/DPT
Provider Business Mailing Address
First Line : 301 E FOOTHILL BLVD STE 100
Second Line :
City : ARCADIA
State : CA
Zip : 91006-2551
Country : US
Telephone Number : 626-445-2400
Fax Number : 626-445-2419
Provider Business Practice Location Address
First Line : 301 E FOOTHILL BLVD STE 100
Second Line :
City : ARCADIA
State : CA
Zip : 91006-2551
Country : US
Telephone Number : 626-538-2751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2009
Last Update Date : 07/12/2022

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