Doctor Name: | LISA MICHELLE SMITH |
NPI Number: | 1205951340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, OCS, ATC |
License Number: | 15080 |
Business Practice Address: | 1700 Adams Ave Ste 201 Costa Mesa, CA - 926264865 |
Business Phone Number: | 7145561600 |
Business Fax Number: | 7145563737 |
Mailing Address: | 28032 Singleleaf, MISSION VIEJO |
State: | CA |
Postal Code: | 926924036 |
Phone Number: | 9495813538 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 11/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15080 |
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 |