Individual
MR. WILLIAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6200
Mailing address
PO BOX 50470, PASADENA, CA 91115-0470
(626) 696-1400
(626) 696-1452
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25975
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
05/21/2013
Last updated
05/21/2013
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