DERRIC JUSTIN LEE

BERKELEY, CA
NPI1255008421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT300515)
Enumeration Date2021-08-25
Last Update Date2021-08-25
Business Address
DERRIC JUSTIN LEE DPT
2030 ADDISON ST STE 101
BERKELEY, CA 94704-1140
Phone number: 510-644-8031
Mailing Address
DERRIC JUSTIN LEE DPT
18 STEUBEN BAY
ALAMEDA, CA 94502-6406
Phone number: 510-846-8409
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