| NPI | 1760880108 |
|---|---|
| Former Name | LISA COLOMBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209189) |
| 225100000X Physical Therapist (Licence: NC 15369) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2024-02-02 |