Individual
SUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 S MAIN ST, SUITE C, LONGMONT, CO 80501-1716
(303) 702-1612
Mailing address
1475 FOLSOM ST APT 185, BOULDER, CO 80302-6821
(217) 714-6195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013592
CO
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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