| NPI | 1386795284 |
|---|---|
| Former Name | LISA LYN GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1172878) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1172878) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-05-26 |