Individual
KEITH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
95-25 QUEENS BLVD., 3RD FLOOR SUITE D, REGO PARK, NY 11374
(718) 925-6212
Mailing address
7510 YELLOWSTONE BLVD APT 3E, REGO PARK, NY 11374-5307
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
041559-1
NY
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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