Doctor Name: | MS. PAMELA J LEE |
NPI Number: | 1083909931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 032222 |
Business Practice Address: | 3 Lions Dr North Liberty, IA - 523179575 |
Business Phone Number: | 3196652111 |
Business Fax Number: | 3196652114 |
Mailing Address: | 3 Lions Dr, NORTH LIBERTY |
State: | IA |
Postal Code: | 523179575 |
Phone Number: | 3196652111 |
Fax Number: | 3196652114 |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 032222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |