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LISA JULIEN PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1992012397
Individual Registrant: LISA JULIEN PT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
400 INTERNATIONAL PKWY SUITE 300 LAKE MARY, FL 32746-5061 US
Tel: 800-806-6026 Fax: --
Tel: 800-806-6026 Fax: --
Contact information for business:
123 BASSETT ST WEST HAVEN, CT 06516-5240 US
Tel: 203-983-9556 Fax: --
Tel: 203-983-9556 Fax: --
Registration Information:
NPI: 1992012397
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | 25855 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
