Individual
LEE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 FREDERICK ST, DIX HILLS, NY 11746-7060
(631) 357-0112
Mailing address
316 FREDERICK ST, DIX HILLS, NY 11746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006971-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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