| Doctor Name: | LISA KATHLEEN MARTIN |
| NPI Number: | 1487849030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 22640 |
| Business Practice Address: | 26520 Cactus Ave Moreno Valley, CA - 925553927 |
| Business Phone Number: | 9514864240 |
| Business Fax Number: | |
| Mailing Address: | 6800 Brockton Ave Ste 2, RIVERSIDE |
| State: | CA |
| Postal Code: | 925063810 |
| Phone Number: | 9516830650 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2007 |
| NPI Last Update Date: | 03/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22640 |
| 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 |