Lisa Kathleen Martin, Physical Therapist
Physical Therapist in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1487849030
StatusActive
Last updated in NPPESMar 17, 2011
Details
- NPI
- 1487849030
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kathleen Martin
- Credential
- Physical Therapist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Mar 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 22640 | CA | Yes |
Practice location
26520 Cactus AveMoreno Valley, CA 92555-3927
Phone 951-486-4240
Mailing address
6800 Brockton Ave Ste 2Riverside, CA 92506-3810
Phone 951-683-0650
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All 41 Physical Therapist providers in Moreno Valley · All 3,435 providers in Moreno Valley
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