Organization
LEE PHYSICAL THERAPY AND REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONG IL LEE D.C. (PRESIDENT)
(470) 395-8988
Entity
Organization
Contact information
Practice address
3473 OLD NORCROSS RD, SUITE 306, DULUTH, GA 30096-4610
(470) 395-8988
(470) 246-5090
Mailing address
3473 OLD NORCROSS RD, SUITE 306, DULUTH, GA 30096-4610
(470) 395-8988
(470) 246-5090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012403
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT012403
GEORGE STATE BOARD OF PHYSICAL THERAPY
GA
Enumeration date
03/30/2017
Last updated
03/30/2017
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