Individual
ADALE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
Mailing address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A0647
NM
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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