Individual
JOSHUA JIMMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1100 INDUSTRIAL RD STE 11A, SAN CARLOS, CA 94070-4167
(650) 593-5700
Mailing address
30687 RATEKIN DR, UNION CITY, CA 94587-1662
(650) 863-4898
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
298180
CA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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