Elijah Lee

NPI #1376307512 in Douglas, Wyoming

Provider Information

NPI Number: 1376307512
Entity Type: Individual
Name: Elijah Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 8, 2024
Last Updated: Feb 8, 2024

Practice Location

Address: 111 S 5TH ST
City: Douglas
State: Wyoming
ZIP Code: 82633-2434
Phone: (307) 358-9464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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