Individual
LEE ANDREW WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
301 BROOKFIELD RD, LYNCHBURG, VA 24503-3409
(434) 426-4676
Mailing address
301 BROOKFIELD RD, LYNCHBURG, VA 24503-3409
(434) 426-4676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000439
VA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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