Individual
GEMMA JIEUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
15837 SE 44TH CT, BELLEVUE, WA 98006-2157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60420575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60420575
WASHINGTON STATE DEPARTMENT OF HEALTH CREDENTIAL NUMBER
WA
Enumeration date
08/20/2014
Last updated
08/20/2014
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