Provider Demographics
NPI:1689930067
Name:LEE, HOCHIA (PT)
Entity Type:Individual
Prefix:
First Name:HOCHIA
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-0095
Mailing Address - Country:US
Mailing Address - Phone:352-262-0123
Mailing Address - Fax:
Practice Address - Street 1:3642 HENDERSON BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4502
Practice Address - Country:US
Practice Address - Phone:352-262-0123
Practice Address - Fax:813-563-6369
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist