Individual
MR. MATTHEW LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2702 FARRELL RD, SANFORD, NC 27330-6505
(919) 776-9602
Mailing address
714 ANTRIM MEADOW LN, CARY, NC 27519-8857
(919) 776-9602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5806
NC
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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