Doctor Name: | LISA M OVERTON |
NPI Number: | 1194036301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT.012855 |
Business Practice Address: | 25200 Center Ridge Rd Suite 1400 Westlake, OH - 441454141 |
Business Phone Number: | 4403314319 |
Business Fax Number: | 4403313478 |
Mailing Address: | Po Box 74692, CLEVELAND |
State: | OH |
Postal Code: | 441940002 |
Phone Number: | 4408955021 |
Fax Number: | 4408955050 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 01/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT.012855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |