Doctor Name: | LISA SIBITS |
NPI Number: | 1386054914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT010907 |
Business Practice Address: | 474 Hamilton Dr Broadview Heights, OH - 441474218 |
Business Phone Number: | 4409153730 |
Business Fax Number: | |
Mailing Address: | 474 Hamilton Dr, BROADVIEW HEIGHTS |
State: | OH |
Postal Code: | 441474218 |
Phone Number: | 4409153730 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2014 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT010907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |