Ennis, Lisa Kimberly

Ennis, Lisa Kimberly is an individual health care provider with primary practice located at 23100 Eucalyptus Ave Ste C , Moreno Valley CA 92553-5439. 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. Ennis, Lisa Kimberly can be contacted via phone (951) 379-1500.

Contact Information

Primary practice address
23100 Eucalyptus Ave Ste C Moreno Valley CA 92553-5439
Phone: (951) 379-1500
Fax: (951) 379-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT22506 California

Profile Details

NPI number 1871577759
LBN Legal business name Ennis, Lisa Kimberly
Credentials PT MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2005
Last updated Nov 1st, 2021 - about 3 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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