Individual provider · NPI-1

Felicia Ryan Lee

Developmental Therapist · Plantation, FL

NPI number1821766098
StatusActive
Last updated in NPPESSep 2, 2021

Details

NPI
1821766098
Entity type
Individual (NPI-1)
Name
Felicia Ryan Lee
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 2, 2021
Certification date
Sep 2, 2021
Last updated
Sep 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental TherapistL000256977490FLYes

Practice location

1240 S Pine Island Rd Apt 528
Plantation, FL 33324-4498

Phone 347-572-1962

Mailing address

1240 S Pine Island Rd Apt 528
Plantation, FL 33324-4498

Phone 347-572-1962

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