Bruce Lee, PT

Physical Therapist · Lisle, IL

Individual Active NPI

NPI number 1851631899

Practice location

1920 Maple Ave
Lisle, IL 60532-2179
Phone
(800) 974-4378
Fax
(262) 697-6278

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NPI record

NPI
1851631899
Entity type
Individual (Type 1)
Enumeration date
February 28, 2013
Last updated
February 28, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 070015687 IL

Mailing address

2547 Plainfield Naperville Rd
Ste 152
Naperville, IL 60564-8909
Phone
(800) 974-4378
Fax
(262) 697-6278

About Bruce Lee

Bruce Lee, PT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1920 Maple Ave, Lisle, IL 60532-2179. The NPI number 1851631899 was assigned on February 28, 2013 and the record was last updated on February 28, 2013.

Bruce Lee lists a license in the registry: #070015687 (IL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce Lee, PT?

The NPI number is 1851631899.

What is the phone number of Bruce Lee?

The phone number listed for the practice location is (800) 974-4378.

Where is Bruce Lee located?

1920 Maple Ave, Lisle, IL 60532-2179.

What is the taxonomy code for Bruce Lee?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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