Individual
MR. LEE JOSEPH CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
103 ESTATE DR, THIBODAUX, LA 70301-3785
(504) 214-8727
Mailing address
103 ESTATE DR, THIBODAUX, LA 70301-3785
(504) 214-8727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04975
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431315504C
BLUECROSS
LA
Enumeration date
04/04/2006
Last updated
06/12/2014
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