Organization
BRIGHT START
Active
Other names
D/B/A Bright Start
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LYNN LEE OTR/L (OCCUPATIONAL THERAPIST)
(484) 942-8912
Entity
Organization
Contact information
Practice address
50 GLENGARRY CHASE, COVINGTON, GA 30014-8913
(484) 942-8912
Mailing address
50 GLENGARRY CHASE, COVINGTON, GA 30014-8913
(484) 942-8912
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005939
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151587B
—
GA
Enumeration date
04/15/2017
Last updated
04/15/2017
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