Individual
MS. PAMELA J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(319) 665-2111
(319) 665-2114
Mailing address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(319) 665-2111
(319) 665-2114
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
032222
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283002
—
IA
Enumeration date
06/17/2011
Last updated
06/17/2011
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