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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
MRS. LYNN MARIE LEE PT (OWNER PHYSICAL THERAPIST)
(661) 295-0078
Entity
Organization
Contact information
Practice address
3217 MT PINOS WAY, FRAZIER PARK, CA 93225
(661) 245-2003
(661) 245-2004
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 5600
CA
Other
Enumeration date
10/24/2006
Last updated
05/28/2008
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