| Doctor Name: | MRS. LISBA PROBECK BRANDT |
| NPI Number: | 1033234505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTRL, CHT |
| License Number: | 5706 |
| Business Practice Address: | 14 41st Ave San Mateo, CA - 944035106 |
| Business Phone Number: | 6505228850 |
| Business Fax Number: | 6505228853 |
| Mailing Address: | 606 30th Ave, SAN MATEO |
| State: | CA |
| Postal Code: | 944033206 |
| Phone Number: | 6503560371 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 5706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |