Individual
MISTER LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4100
Mailing address
106 HIGH ST, CRANFORD, NJ 07016-2945
(646) 552-4727
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
40QA00978200
NJ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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