LISA MARIE VIDAKOVIC

ERIE, PA
NPI1073757886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PTO17348)
Enumeration Date2009-04-23
Last Update Date2019-01-15
Business Address
MRS. LISA MARIE VIDAKOVIC P.T.
1343 W 38TH ST
ERIE, PA 16508-2461
Phone number: 814-315-2548
Mailing Address
MRS. LISA MARIE VIDAKOVIC P.T.
1343 W 38TH ST
ERIE, PA 16508-2461
Phone number: 814-315-2548
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