Edwards, Lisa M

Edwards, Lisa M is an individual health care provider with primary practice located at 25 E Thurman Ave , Porterville CA 93257-3709. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Edwards, Lisa M can be contacted via phone (559) 791-1778.

Contact Information

Primary practice address
25 E Thurman Ave Porterville CA 93257-3709
Phone: (559) 791-1778
Fax: (559) 791-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT24829 California

Profile Details

NPI number 1568635142
LBN Legal business name Edwards, Lisa M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568635142 NPPES
California Other PT24829 PT LICENSE

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