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Individual

GRACE C LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, OCS

Contact information

Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25741
MD
225100000X
Physical Therapist
PT871894
DC
225100000X
Physical Therapist
Primary
PTL.0007692
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
97680320
CO
Enumeration date
11/30/2006
Last updated
05/03/2024
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