Individual
NICHOLAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
3100 SHORE DR, VIRGINIA BEACH, VA 23451-1199
(757) 496-1688
Mailing address
1904 CEDAR ST APT 108, RICHMOND, VA 23223-7253
(229) 322-9023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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