Individual
TANNER DEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 S 6TH ST STE B, KLAMATH FALLS, OR 97601-4340
(541) 236-2123
Mailing address
2312 S 6TH ST STE B, KLAMATH FALLS, OR 97601-4340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9914
OR
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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