Doctor Name: | BRANDON SCOTT LEE |
NPI Number: | 1720392228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 07807 |
Business Practice Address: | 4020 Lonesome Rd Mandeville, LA - 704487085 |
Business Phone Number: | 9856269591 |
Business Fax Number: | 9856269592 |
Mailing Address: | 4020 Lonesome Rd, MANDEVILLE |
State: | LA |
Postal Code: | 704487085 |
Phone Number: | 9856269591 |
Fax Number: | 9856269592 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 07807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |