Individual
MARIA KEHAULANI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4344 W BELL RD, GLENDALE, AZ 85308-3589
(602) 548-9882
(602) 548-0228
Mailing address
N5654 STATE HIGHWAY 54, BLACK RIVER FALLS, WI 54615-5919
(715) 299-6533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31298
AZ
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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