Individual
QUINTIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
6 W J SOWDER DR., CONWAY, AR 72034
(620) 794-9669
Mailing address
10 EARL DR, CONWAY, AR 72032-9267
(620) 794-9669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
985
AR
Other
Enumeration date
09/15/2021
Last updated
09/26/2021
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