Junho Lee, | |
19 Norman Ct, East Brunswick, NJ 08816-3692 | |
(732) 874-1565 | |
Not Available |
Full Name | Junho Lee |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 19 Norman Ct, East Brunswick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194420620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Optimal Loading Physio Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205691086 PECOS PAC ID: 0042659203 Enrollment ID: O20240419003297 |
Mailing Address | Practice Location Address |
---|---|
Junho Lee, 19 Norman Ct, East Brunswick, NJ 08816-3692 Ph: (732) 874-1565 | Junho Lee, 19 Norman Ct, East Brunswick, NJ 08816-3692 Ph: (732) 874-1565 |
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