Individual
JORDAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 SHENANDOAH AVE STE 203, DALEVILLE, VA 24083-3205
(540) 352-4304
(540) 591-7340
Mailing address
825 DAVIS ST STE B, BLACKSBURG, VA 24060-7009
(540) 352-4304
(504) 591-7340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211889
VA
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
12/03/2020
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