Individual
ALYSSA CORINNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3680 CAMPUS DR, THOUSAND OAKS, CA 91360-2701
(510) 701-6007
Mailing address
9400 CORBIN AVE APT 2045, NORTHRIDGE, CA 91324-2612
(510) 701-6007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041929
—
Other
Enumeration date
05/02/2023
Last updated
05/03/2023
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