Individual provider · NPI-1
Sool Lee An
Physical Therapist · Cleveland, OH
NPI number1902446834
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1902446834
- Entity type
- Individual (NPI-1)
- Name
- Sool Lee An
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT018210 | OH | Yes |
Practice location
1438 Marview DrCleveland, OH 44145-2340
Phone 440-523-1509
Mailing address
1438 Marview DrCleveland, OH 44145-2340
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