Individual
BRYAN T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
770 KAPIOLANI BLVD, SUITE 104, HONOLULU, HI 96813-5212
(808) 596-9446
(808) 596-9160
Mailing address
770 KAPIOLANI BLVD, SUITE 104, HONOLULU, HI 96813-5212
(808) 596-9446
(808) 596-9160
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1925
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J0224970
HMSA QUEST #
HI
01
—
200684033
UHC MEDICARE COMPLETE
HI
01
—
201621
HMA SUMMERLIN
HI
01
—
209006700
OWCP #
HI
01
—
3953566
UHA #
HI
05
—
49621701
—
HI
01
—
49621702
ALOHA CARE QUEST #
HI
01
—
J0224970
HMSA BCBS#
HI
01
—
Z1654
MDX INSURANCE CO
HI
Enumeration date
01/10/2007
Last updated
07/09/2007
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