Doctor Name: | DAVID LISAN |
NPI Number: | 1629148945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | PT007501L |
Business Practice Address: | 913 Montgomery Ave Penn Valley, PA - 190721501 |
Business Phone Number: | 6106643400 |
Business Fax Number: | 6106648482 |
Mailing Address: | 922 Montgomery Ave, Unit G3 BRYN MAWR |
State: | PA |
Postal Code: | 190103043 |
Phone Number: | 6103483420 |
Fax Number: | 6106648482 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 01/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007501L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |