Individual
MS. LEE XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(847) 983-8750
Mailing address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2445-19
WI
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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