| NPI | 1366485773 |
|---|---|
| Former Name | LISA ANNE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DE J10000575) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-08-06 |