Individual
CARLTON DION LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18803 HARDY OAK BLVD, SAN ANTONIO, TX 78258-4961
(210) 982-4600
Mailing address
18803 HARDY OAK BLVD, SAN ANTONIO, TX 78258-4961
(210) 982-4600
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
210125
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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