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NPI Code Detail

MEDICARE: JOANNA LEE

MEDICARE: JOANNA LEE
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 Therapist1210409TX

General Provider Information

NPI Number : 1245626852
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA LEE
Provider Business Mailing Address
First Line : 3013 SPEYBURN
Second Line :
City : THE COLONY
State : TX
Zip : 75056-6506
Country : US
Telephone Number : 214-240-5507
Fax Number :
Provider Business Practice Location Address
First Line : 6101 OHIO DR STE 100B
Second Line :
City : PLANO
State : TX
Zip : 75024-2720
Country : US
Telephone Number : 972-244-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2015
Last Update Date : 01/09/2024

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Directions to “ JOANNA LEE ” Practice Location

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