Individual
JULIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
207 W MAIN ST, PLAINFIELD, IN 46168-1117
(179) 362-5203
Mailing address
207 W MAIN ST, PLAINFIELD, IN 46168-1117
(317) 936-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011475A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201246050
—
IN
Enumeration date
06/18/2014
Last updated
01/19/2023
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