Doctor Name: | MS. LISA MARIE DIBENEDETTO |
NPI Number: | 1083813679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 33083 |
Business Practice Address: | 820 W G St Apt 432 San Diego, CA - 921015944 |
Business Phone Number: | 6178272343 |
Business Fax Number: | |
Mailing Address: | 820 W G St Apt 432, SAN DIEGO |
State: | CA |
Postal Code: | 921015944 |
Phone Number: | 6178272343 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 33083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |