Individual
BO YOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 SE SECOND ST, SNOW HILL, NC 28580-2014
(252) 747-8126
Mailing address
302 LINDELL RD, GREENVILLE, NC 27834-6430
(252) 353-6226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14125
NC
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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