Individual
PETER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(414) 258-6170
Mailing address
2015 S 106TH ST, WEST ALLIS, WI 53227-1226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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