| Doctor Name: | MS. LISA VARGOVICH MARTIN |
| NPI Number: | 1033296611 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 5000 |
| Business Practice Address: | 2540 Sheridan Dr Tonawanda, NY - 14150 |
| Business Phone Number: | 7168620567 |
| Business Fax Number: | 7168620571 |
| Mailing Address: | 2670 W Blood Rd, EAST AURORA |
| State: | NY |
| Postal Code: | 140521216 |
| Phone Number: | 7166550225 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |