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Lee Andrew Wise, COTA

Occupational Therapy Assistant in Lynchburg, VA. Individual provider (NPI-1).

NPI number1356757165
StatusActive
Last updated in NPPESJul 1, 2014

Details

NPI
1356757165
Entity type
Individual (NPI-1)
Name
Lee Andrew Wise
Credential
COTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 1, 2014
Last updated
Jul 1, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant0131000439VAYes

Practice location

301 Brookfield Rd
Lynchburg, VA 24503-3409

Phone 434-426-4676

Mailing address

301 Brookfield Rd
Lynchburg, VA 24503-3409

Phone 434-426-4676

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