Individual
ERIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2655 W CAREFREE HWY, PHOENIX, AZ 85085-8862
(623) 434-4655
(623) 434-4657
Mailing address
1717 N KITTREDGE RD, FLAGSTAFF, AZ 86001-1167
(928) 606-4768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12673
AZ
225100000X
Physical Therapist
PTL0013982
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12673
ARIZONA STATE LICENSE
AZ
01
—
PTL0013982
CO PT LICENSE
CO
Enumeration date
06/06/2016
Last updated
12/01/2016
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