Individual
MISS LEE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
173 EGYPT RD, PRESQUE ISLE, ME 04769-7017
(207) 227-6846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012054
OH
225200000X
Physical Therapy Assistant
PA5120
ME
Other
Enumeration date
07/15/2019
Last updated
04/20/2021
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