Lisa Gayle Banister, P.T.
Physical Therapist in Oviedo, FL. Individual provider (NPI-1).
NPI number1760634802
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1760634802
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Gayle Banister
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2008
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 021430 | NY | Yes |
Practice location
880 Royalwood LnOviedo, FL 32765-8536
Phone 580-695-5898
Mailing address
880 Royalwood LnOviedo, FL 32765-8536
Phone 580-695-5898
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All 80 Physical Therapist providers in Oviedo · All 1,738 providers in Oviedo
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