Provider Demographics
NPI:1689806028
Name:LEE, CINDY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 W TWIN CREEKS TRL
Mailing Address - Street 2:
Mailing Address - City:TROUP
Mailing Address - State:TX
Mailing Address - Zip Code:75789-6703
Mailing Address - Country:US
Mailing Address - Phone:903-842-3709
Mailing Address - Fax:903-881-6010
Practice Address - Street 1:2808 S MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-7854
Practice Address - Country:US
Practice Address - Phone:361-688-3571
Practice Address - Fax:903-881-6010
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-19
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist