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Individual

LEE K CRITES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
158 HARVEST MOON RD, SYLVA, NC 28779-7119
(828) 506-0457
Mailing address
158 HARVEST MOON RD, SYLVA, NC 28779-7119
(828) 506-0457

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8748
OR
225200000X
Physical Therapy Assistant
A4363
NC
225200000X
Physical Therapy Assistant
Primary
AT 9715
CA

Other

Enumeration date
03/20/2012
Last updated
03/20/2012
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