Individual
JACOB JAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
900 SHERIDAN RD, BREMERTON, WA 98310-2701
(360) 377-3395
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1963
WY
Other
Enumeration date
06/17/2020
Last updated
01/28/2025
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