| NPI | 1285013953 |
|---|---|
| Former Name | LISA J HAACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: WI 5827-24) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TN 7475) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-11-16 |