Individual
DIANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
117 ORVILLE RD, ESSEX, MD 21221-1309
(410) 686-2270
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
035217-1
NY
225100000X
Physical Therapist
Primary
26827
MD
225100000X
Physical Therapist
40QA01590700
NJ
Other
Enumeration date
08/26/2012
Last updated
08/29/2024
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