Individual
IAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSC
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6283
Mailing address
6251 KEOKEA PL, HONOLULU, HI 96825-1230
(210) 722-6774
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-1727
HI
Other
Enumeration date
09/05/2006
Last updated
09/07/2023
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