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LISA R MARDER PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1598895229

Individual Registrant:
 LISA R MARDER PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
34061 FOREST PARK DRIVE  ELIZABETH, CO 80107 US
Tel: 303-646-9782  Fax: 303-646-9782

Contact information for business:
PO BOX 1122  ELIZABETH, CO 80107-1122 US
Tel: 720-982-6911  Fax: --

Registration Information:
NPI: 1598895229
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
COPT4108

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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