JONATHAN LEE

MARIANNA, FL
NPI1003352097
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: FL  32134)
Enumeration Date2017-01-13
Last Update Date2017-05-01
Business Address
-- JONATHAN LEE
4387 KELSON AVE APT A
MARIANNA, FL 32446
Phone number: 352-870-8109
Mailing Address
-- JONATHAN LEE
4387 KELSON AVE APT A
MARIANNA, FL 32446
Phone number: 352-870-8109