| NPI | 1154414506 |
|---|---|
| Former Name | LISHA ANN LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20518) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: FL PT20518) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-12-09 |