| NPI | 1740477215 |
|---|---|
| Former Name | LISA BETH BERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt18748) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2021-09-01 |