Individual
EZRA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4051 OGLETOWN RD STE 104, NEWARK, DE 19713-3101
(302) 894-1600
(302) 894-1601
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
08/03/2023
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