Doctor Name: | MS. LISA A KIRKLAND |
NPI Number: | 1699011437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT006450L |
Business Practice Address: | 734 E Lancaster Ave Villanova, PA - 190851325 |
Business Phone Number: | 6109641700 |
Business Fax Number: | 6106882000 |
Mailing Address: | 120 W Germantown Pike, Suite 100 PLYMOUTH MEETING |
State: | PA |
Postal Code: | 194621420 |
Phone Number: | 6102700370 |
Fax Number: | 6102700374 |
NPI Enumeration Date: | 12/26/2012 |
NPI Last Update Date: | 12/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT006450L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |