Individual
ANTOINETTE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 CATAWBA CIR, COLUMBIA, SC 29201-5257
(443) 995-2830
Mailing address
706 CATAWBA CIR, COLUMBIA, SC 29201-5257
(443) 995-2830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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