Individual
JONATHAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4387 KELSON AVE APT A, MARIANNA, FL 32446
(352) 870-8109
Mailing address
4387 KELSON AVE APT A, MARIANNA, FL 32446
(352) 870-8109
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
32134
FL
Other
Enumeration date
01/13/2017
Last updated
05/01/2017
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