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Individual

CHRISTINA LEE

Active
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Individual

CHRISTINA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0201976
DEPT. OF LABOR & INDUSTRY
WA
01
3752LE
REGENCE BLUE SHIELD
WA
01
5029LE
REGENCE BLUE SHIELD
WA
01
6587LE
REGENCE BLUE SHIELD
WA
01
7063410
AETNA
WA
05
8337636
WA
01
8930487
L&I CRIME VICTIMS
WA
01
911745305-98203-C005
TRICARE
WA
01
911745305-98208-B023
TRICARE
WA
01
911745305-98223-A015
TRICARE
WA
01
911745305-98275-A006
TRICARE
WA
01
9687LE
REGENCE BLUE SHIELD
WA
01
P00020869
RAILROAD MEDICARE
WA
Enumeration date
06/06/2006
Last updated
10/04/2007
Update your record

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