Individual
MR. LEE CHANDLER ST.GERMAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOT
Contact information
Practice address
1485 INTERNATIONAL PKWY, SUITE 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
1485 INTERNATIONAL PKWY, SUITE 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2361
NM
Other
Enumeration date
07/19/2007
Last updated
12/28/2010
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