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NPI Code Detail

MEDICARE: DR. PATRICK MICHAEL LEE JR. DPT

MEDICARE: DR. PATRICK MICHAEL LEE JR. DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA02339300NJ

General Provider Information

NPI Number : 1174410369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MICHAEL LEE JR. DPT
Provider Business Mailing Address
First Line : 41 CEDAR CT
Second Line :
City : CLOSTER
State : NJ
Zip : 07624-1012
Country : US
Telephone Number : 551-404-4930
Fax Number :
Provider Business Practice Location Address
First Line : 271 GROVE AVE STE C
Second Line :
City : VERONA
State : NJ
Zip : 07044-1729
Country : US
Telephone Number : 201-340-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 06/20/2025

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