| NPI | 1750585956 |
|---|---|
| Former Name | LISA REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT008033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT008033) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-04-17 |