Individual
MATTHEW T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
1101 W VICKERY BLVD, FORT WORTH, TX 76104-1025
(800) 747-8242
Mailing address
PO BOX 99283, FORT WORTH, TX 76199-1383
(682) 885-6294
(682) 885-5606
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
89749
TX
247200000X
Other Technician
89749
TX
Other
Enumeration date
07/13/2022
Last updated
02/10/2023
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