Doctor Name: | SUNG S LEE |
NPI Number: | 1093983660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T |
License Number: | 2305203083 |
Business Practice Address: | 6860 Commercial Dr Ste C Springfield, VA - 221514201 |
Business Phone Number: | 7036261465 |
Business Fax Number: | 7033197972 |
Mailing Address: | 3102 Mereworth Ct, OAKTON |
State: | VA |
Postal Code: | 221241758 |
Phone Number: | 7036261465 |
Fax Number: | 7033197972 |
NPI Enumeration Date: | 02/15/2008 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305203083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |