Individual
MR. MICHAEL A LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2401 ACORN CT, FREEHOLD, NJ 07728-9139
(732) 761-9783
Mailing address
2401 ACORN CT, FREEHOLD, NJ 07728-9139
(732) 761-9783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00201200
NJ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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