Individual
MR. JOHN DAVID LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1552 MARINER CT, LAKELAND, FL 33803-4284
(760) 409-0502
Mailing address
1552 MARINER CT, LAKELAND, FL 33803-4284
(760) 409-0502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25265
FL
225200000X
Physical Therapy Assistant
3182
SC
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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