Individual
MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PASSAIC AVE, WEST CALDWELL, NJ 07006-6408
(973) 575-7576
(973) 575-7985
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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