| NPI | 1982921615 |
|---|---|
| Former Name | LISA MICHELLE FARRIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 36508) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-08-28 |