Individual
LEE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1420 TUSCULM BLVD., GREENEVILLE, TN 37745
(423) 787-5063
Mailing address
1420 TUSCULM BLVD., GREENEVILLE, TN 37745
(423) 787-5063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002068
TN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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