Individual
JERRY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1140 EAGLETREE LANE SE, BUILDING/SUITE #, HUNTSVILLE, AL 35801-3580
(256) 883-0636
(256) 883-0635
Mailing address
1140 EAGLETREE LANE SE, HUNTSVILLE, AL 35801
(256) 883-0636
(256) 883-0635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2646
AL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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