| NPI | 1376975284 |
|---|---|
| Former Name | LISA M STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7959) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208164) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2019-05-29 |