| NPI | 1699043802 |
|---|---|
| Former Name | LISA MARIE MONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 25938) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 25938) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-11-28 |