Individual
LEE TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
220 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3940
(732) 980-6235
Mailing address
1617 FRASE ST, SOUTH PLAINFIELD, NJ 07080-2135
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01808100
NJ
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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