Most Relevant Information
Provider Data
| NPI Number: | 1003472184 |
| Provider Name: | EDWIN BRYCE LEE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2305211116 |
Most Important Dates
| Enumeration Date: | 05/14/2019 |
| Last Updated: | 05/14/2019 |
Provider Practice Location
1512 TECHNOLOGY DR STE 102
CHESAPEAKE
VA
233205979
Practice Location Phone/Fax
| Phone: | 7572277600 |
| Fax: |
Provider Mailing Location
1734 LASALLE AVE
NORFOLK
VA
235091122
Provider Mailing Phone/Fax
| Phone: | 7572277600 |
| Fax: |