Individual
WYNNONA TERU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2832 E FLAMINGO RD, LAS VEGAS, NV 89121-5205
(702) 799-0235
(702) 799-2835
Mailing address
10256 UNION PARK CT, LAS VEGAS, NV 89123-4006
(702) 838-8476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0853
NV
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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