Doctor Name: | MRS. LISA MARIE ANDERSON |
NPI Number: | 1295875631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 010279 |
Business Practice Address: | 1722c Tagatay St Robinson Health Clinic Fort Bragg, NC - 283100001 |
Business Phone Number: | 9109078282 |
Business Fax Number: | |
Mailing Address: | 2817 Reilly Rd Mcxc-cod Credentials, Womack Army Medical Center FORT BRAGG |
State: | NC |
Postal Code: | 283100001 |
Phone Number: | 9109078922 |
Fax Number: | 9109076069 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 010279 |
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 |