Gavin Lee

NPI #1023644424 in Vancouver, Washington

Provider Information

NPI Number: 1023644424
Entity Type: Individual
Name: Gavin Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 17, 2020
Last Updated: Mar 17, 2020

Practice Location

Address: 23605 NE 108TH ST
City: Vancouver
State: Washington
ZIP Code: 98682-9549
Phone: (415) 915-4626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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