Individual
EDWIN BRYCE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1512 TECHNOLOGY DR STE 102, CHESAPEAKE, VA 23320-5979
(757) 227-7600
Mailing address
1734 LASALLE AVE, NORFOLK, VA 23509-1122
(757) 227-7600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211116
VA
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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