Nicole Mariko Elby Lee, PT,DPT,SCS,ATC,CSCS
NPI #1861917577 in Malibu, California
Provider Information
- NPI Number
- 1861917577
- Entity Type
- Individual
- Name
- Nicole Mariko Elby Lee, PT,DPT,SCS,ATC,CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Sports
- Credential
- PT,DPT,SCS,ATC,CSCS
- Enumeration Date
- Aug 3, 2017
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 24255 PACIFIC COAST HWY
- City
- Malibu
- State
- California
- ZIP Code
- 90263-3999
- Phone
- (310) 506-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physical Therapist - Sports — Sports |
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Organizations
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|---|---|
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