Individual
LISA MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 CANTON ST NW, PALM BAY, FL 32907-7948
(321) 429-6621
Mailing address
900 CANTON ST NW, PALM BAY, FL 32907-7948
(321) 429-6621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27176
FL
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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