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NPI Code Detail

MEDICARE: WENDY MARIE LEE

MEDICARE:   WENDY MARIE 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 Therapist1295985TX

General Provider Information

NPI Number : 1669094306
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MARIE LEE
Provider Business Mailing Address
First Line : 15702 PERSIMMON HILL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-5581
Country : US
Telephone Number : 406-270-0920
Fax Number :
Provider Business Practice Location Address
First Line : 14747 JONES MALTSBERGER RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3713
Country : US
Telephone Number : 406-270-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2020
Last Update Date : 05/16/2020

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Directions to “ WENDY MARIE LEE ” Practice Location

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