Individual
MR. LARRY WLLIAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
102 MILE OF CARS WAY, NATIONAL CITY, CA 91950-6603
(619) 474-9211
(619) 474-0718
Mailing address
6194 CHADWICK AVE, SAN DIEGO, CA 92139-3610
(619) 475-7565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2608
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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