Individual
LEJO GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1607 SPRUCE STREET EXT, MARTINSVILLE, VA 24112-5814
(276) 632-7146
Mailing address
701 CORN TASSEL TRL APT 27, MARTINSVILLE, VA 24112-5442
(909) 809-1046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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