Provider Demographics
NPI:1598096612
Name:VIUP LEE, BARBARA V (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:V
Last Name:VIUP LEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:R
Other - Last Name:VIUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:101 SHIRLEY CT
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-375-7414
Mailing Address - Fax:631-670-7148
Practice Address - Street 1:101 SHIRLEY CT
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-375-7414
Practice Address - Fax:631-670-7148
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist