Individual
JOHN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2961 SAINT ANTHONY DR, GREEN BAY, WI 54311-5860
(920) 468-0861
Mailing address
839 CENTENNIAL CENTRE BLVD APT 14, HOBART, WI 54155-8694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2575-19
WI
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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