| Doctor Name: | MRS. LIESA PERSAUD |
| NPI Number: | 1831115450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3646 |
| Business Practice Address: | 15648 N 92nd W Ave Skiatook, OK - 74070 |
| Business Phone Number: | 9188123932 |
| Business Fax Number: | 9183967709 |
| Mailing Address: | 15648 N 92nd W Ave, SKIATOOK |
| State: | OK |
| Postal Code: | 74070 |
| Phone Number: | 9188123932 |
| Fax Number: | 9183967709 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| 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 |