Individual
SIMON LEE-FEUILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1304 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3108
(301) 733-2914
Mailing address
1304 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4593
MD
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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