Doctor Name: | LISA MARIE OBERSTAR |
NPI Number: | 1033564406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT26656 |
Business Practice Address: | 115 1st St S St Petersburg, FL - 337014383 |
Business Phone Number: | 7278009886 |
Business Fax Number: | 7278009895 |
Mailing Address: | 420 22nd St N, ST PETERSBURG |
State: | FL |
Postal Code: | 337137904 |
Phone Number: | 7272668996 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2016 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26656 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |