Individual
MS. EDITH RENEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4328 WYNDHAM PARK CIR, DECATUR, GA 30034-5470
(770) 981-1529
Mailing address
4328 WYNDHAM PARK CIR, DECATUR, GA 30034-5470
(770) 981-1529
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
000875
GA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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