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Organization
RUSSELL LEE PHYSICAL THERAPY, INC
Active
Organization
RUSSELL LEE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL RAYMOND LEE PT (OWNER/PHYSICAL THERAPIST)
(661) 295-0078
Entity
Organization
Contact information
Practice address
31884 CASTAIC RD, SUITE C-3, CASTAIC, CA 91384-3946
(661) 295-0078
(661) 295-6783
Mailing address
31884 CASTAIC RD, SUITE C-3, CASTAIC, CA 91384-3946
(661) 295-0078
(661) 295-6783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 5791
CA
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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