Individual
JASON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 20TH ST NW STE 116, WASHINGTON, DC 20036-3406
(202) 416-2110
Mailing address
13420 COACHLAMP LN, SILVER SPRING, MD 20906-5832
(240) 286-5314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000208
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2018
Last updated
09/24/2019
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