Individual
EONHEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 SAWGRS CORP PKWY STE 200, SUNRISE, FL 33323-2869
(954) 612-7118
Mailing address
1580 SAWGRS CORP PKWY STE 200, SUNRISE, FL 33323-2869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M69419539
—
FL
Enumeration date
03/14/2017
Last updated
03/14/2017
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