Provider Demographics
NPI:1437425170
Name:LEE, JULIE F (DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:F
Last Name:LEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 HALEKOA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1028
Mailing Address - Country:US
Mailing Address - Phone:808-347-1766
Mailing Address - Fax:
Practice Address - Street 1:602 KAILUA RD
Practice Address - Street 2:#202
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2841
Practice Address - Country:US
Practice Address - Phone:808-263-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist