| NPI | 1740263136 |
|---|---|
| Former Name | LISA VASEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29810) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-01-17 |