| NPI | 1881991735 |
|---|---|
| Former Name | LISA BUCHANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002669) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2023-02-06 |