Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 8251 | NC |
NPI | 1043549728 |
---|---|
Provider Name | Rebecca Schmidtner Lee |
First Address | Greensboro, NC 27408-3120 |
Second Address | Greensboro, NC 27408-3120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |