Individual
JENNIFER SOYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
019601
NY
225100000X
Physical Therapist
Primary
40QA01076000
NJ
Other
Enumeration date
11/14/2007
Last updated
01/06/2022
Update your record
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