| NPI | 1548469349 |
|---|---|
| Former Name | LISA RENEE WARHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ LPT-31502) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 25362) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-08-25 |