Friedman, Lisa Judith

Friedman, Lisa Judith is an individual health care provider with primary practice located at 1360 Tiffany Dr , Brentwood CA 94513-5169. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Friedman, Lisa Judith can be contacted via phone (520) 991-3699.

Contact Information

Primary practice address
1360 Tiffany Dr Brentwood CA 94513-5169
Fax:
Website:

Profile Details

NPI number 1447462098
LBN Legal business name Friedman, Lisa Judith
Credentials MSW OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jun 17th, 2020 - about 4 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 1447462098 NPPES
California Other 15010 OT LICENSE
California Other 0577 OT LICENSE

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