| NPI | 1609287671 |
|---|---|
| Former Name | LISA ROBIN PERETICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24719) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-10-13 |