Provider Demographics
NPI:1811100670
Name:STRYKER, LEE EDWARD (MSPT)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:EDWARD
Last Name:STRYKER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TEASEL CT
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-2000
Mailing Address - Country:US
Mailing Address - Phone:908-534-8974
Mailing Address - Fax:
Practice Address - Street 1:200 TEASEL CT
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-2000
Practice Address - Country:US
Practice Address - Phone:908-534-8974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009545225100000X
NY021578-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist