Doctor Name: | JUSTIN LEE |
NPI Number: | 1336567023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 037122 |
Business Practice Address: | 1607 W Redondo Beach Blvd Gardena, CA - 902473241 |
Business Phone Number: | 7145903211 |
Business Fax Number: | 7145903210 |
Mailing Address: | 1607 W Redondo Beach Blvd, GARDENA |
State: | CA |
Postal Code: | 902473241 |
Phone Number: | 7145903211 |
Fax Number: | 7145903210 |
NPI Enumeration Date: | 03/31/2014 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 037122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |