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NPI Code Detail

MEDICARE: KATHRYN LEE PT, DPT, OCS

MEDICARE: KATHRYN LEE PT, DPT, OCS
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 Therapist20865MA

General Provider Information

NPI Number : 1851721260
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN LEE PT, DPT, OCS
Provider Business Mailing Address
First Line : 99 POPLAR ST
Second Line :
City : ROSLINDALE
State : MA
Zip : 02131-3636
Country : US
Telephone Number : 202-257-3759
Fax Number :
Provider Business Practice Location Address
First Line : 10 LONGWOOD DR
Second Line :
City : WESTWOOD
State : MA
Zip : 02090-1123
Country : US
Telephone Number : 781-237-1769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2013
Last Update Date : 12/08/2020

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