Individual
JASON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5840 BANNEKER RD STE 230, COLUMBIA, MD 21044-3116
(410) 884-0003
Mailing address
1803 MANET CT, SEVERN, MD 21144-1634
(443) 867-4174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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