Doctor Name: | KEVIN LEE |
NPI Number: | 1104216183 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 1017 S Fair Oaks Ave Pasadena, CA - 911052621 |
Business Phone Number: | 6264036200 |
Business Fax Number: | 6264032580 |
Mailing Address: | 224 N Fair Oaks Ave, Suite 300 PASADENA |
State: | CA |
Postal Code: | 911033618 |
Phone Number: | 6266961400 |
Fax Number: | 6266961450 |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |