ELIJAH LEE

DOUGLAS, WY
NPI1376307512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-2360)
Enumeration Date2024-02-08
Last Update Date2024-02-08
Business Address
ELIJAH LEE
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
Mailing Address
ELIJAH LEE
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464
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