Individual
ROBERT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6421 SW 13TH ST, GAINESVILLE, FL 32608-5419
(352) 378-4891
Mailing address
3911 SE 52ND ST, OCALA, FL 34480-7979
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA44969
FL
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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