| Doctor Name: | DR. LISA L WILCOX |
| NPI Number: | 1265536650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 9259 |
| Business Practice Address: | 11152 Clayton Street Northglenn, CO - 80233 |
| Business Phone Number: | 7203697738 |
| Business Fax Number: | 3035838316 |
| Mailing Address: | 3879 East 120th Avenue, #326 THORNTON |
| State: | CO |
| Postal Code: | 80233 |
| Phone Number: | 7203697738 |
| Fax Number: | 3035838316 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9259 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |