Provider Demographics
NPI:1447624796
Name:PEREZ, LEE ANNE (PT, CLT)
Entity type:Individual
Prefix:
First Name:LEE ANNE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7731 CODY ST W
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-8647
Mailing Address - Country:US
Mailing Address - Phone:253-302-5770
Mailing Address - Fax:
Practice Address - Street 1:7731 CODY ST W
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-8647
Practice Address - Country:US
Practice Address - Phone:253-302-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60085439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist