Individual
HANNAH ELIZABETH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 COUNTY ROAD 309, JONESBORO, AR 72401-0410
(870) 926-1969
Mailing address
211 SHADY LN, BONO, AR 72416-9583
(870) 926-1969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4195
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285181172
—
AR
Enumeration date
09/08/2016
Last updated
04/27/2021
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