Individual
ELLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
320 N 4TH AVE, STROUD, OK 74079-3641
(918) 968-2656
(918) 968-2659
Mailing address
320 N 4TH AVE, STROUD, OK 74079-3641
(918) 968-2656
(918) 968-2659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1573
OK
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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