Individual
BETH ANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
411 PRAIRIE HEIGHTS DRIVE, VERONA, WI 53593
(608) 848-6628
(608) 848-6629
Mailing address
494 BASSWOOD AVENUE, VERONA, WI 53593
(608) 845-2274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10498-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40464000
—
WI
Enumeration date
10/27/2006
Last updated
07/08/2007
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