Individual
LETOYA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 CENTRAL AVE, INDIANAPOLIS, IN 46205-3569
(317) 920-7888
Mailing address
2334 WHEATGRASS WAY APT I, INDIANAPOLIS, IN 46260-3778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002882A
IN
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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