Organization
LEE PHYSICAL THERAPY AND REHAB INC
Active
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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