Most Relevant Information
Provider Data
| NPI Number: | 1003352097 |
| Provider Name: | JONATHAN LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: | 32134 |
Most Important Dates
| Enumeration Date: | 01/13/2017 |
| Last Updated: | 05/01/2017 |
Provider Practice Location
4387 KELSON AVE APT A
MARIANNA
FL
32446
Practice Location Phone/Fax
| Phone: | 3528708109 |
| Fax: |
Provider Mailing Location
4387 KELSON AVE APT A
MARIANNA
FL
32446
Provider Mailing Phone/Fax
| Phone: | 3528708109 |
| Fax: |