Organization
LEE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN W LEE DPT (OWNER)
(208) 585-0051
Entity
Organization
Contact information
Practice address
18 E MAIN ST, SUITE 1, MIDDLETON, ID 83644
(208) 585-0051
(208) 585-0052
Mailing address
18 E MAIN ST., SUITE 1, MIDDLETON, ID 83644
(208) 585-0051
(208) 585-0052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1344
ID
Other
Enumeration date
08/17/2007
Last updated
08/23/2007
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