JOHN DAVID LEE

LAKELAND, FL
NPI1134511165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  25265)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: SC  3182)
Enumeration Date2015-02-27
Last Update Date2015-02-27
Business Address
Mr. JOHN DAVID LEE PTA
1552 MARINER CT
LAKELAND, FL 33803-4284
Phone number: 760-409-0502
Mailing Address
Mr. JOHN DAVID LEE PTA
1552 MARINER CT
LAKELAND, FL 33803-4284
Phone number: 760-409-0502