Individual
KEVIN W. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
1534 E PIERCE ST, PHOENIX, AZ 85006-3549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9164A
AZ
225200000X
Physical Therapy Assistant
Primary
A-0817
NV
Other
Enumeration date
01/29/2013
Last updated
03/14/2019
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