Individual
CHARLIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5000 PLEASANTON AVE, PLEASANTON, CA 94566-7052
(925) 263-0265
Mailing address
5000 PLEASANTON AVE, PLEASANTON, CA 94566-7052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26174
CA
Other
Enumeration date
08/16/2016
Last updated
04/10/2017
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