Individual
MRS. SAMANTHA LEA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
2735 SEMINARY CT, LOUISVILLE, KY 40206-2896
(314) 610-4118
Mailing address
2735 SEMINARY CT, LOUISVILLE, KY 40206-2896
(314) 610-4118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2015026973
MO
225X00000X
Occupational Therapist
Primary
BOTOCT00221966
KY
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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