LEE ANDREW WISE

LYNCHBURG, VA
NPI1356757165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000439)
Enumeration Date2014-07-01
Last Update Date2014-07-01
Business Address
-- LEE ANDREW WISE COTA
301 BROOKFIELD RD
LYNCHBURG, VA 24503-3409
Phone number: 434-426-4676
Mailing Address
-- LEE ANDREW WISE COTA
301 BROOKFIELD RD
LYNCHBURG, VA 24503-3409
Phone number: 434-426-4676
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