Individual
TIFFANY LUA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 SW 16TH ST, CHEHALIS, WA 98532-3809
(360) 807-7200
Mailing address
310 SW 16TH ST, CHEHALIS, WA 98532-3809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61136999
WA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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