Individual
MR. PHILIP LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
1 PATRIOTS PARK, BRIDGEWATER, NJ 08807-3454
(908) 763-6143
Mailing address
1 PATRIOTS PARK, BRIDGEWATER, NJ 08807-3454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00207000
NJ
2255A2300X
Athletic Trainer
RT006030
PA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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