Grubb, Lisa
Grubb, Lisa is an individual health care provider with primary practice located at 2812 Alberti Dr , Florence SC 29501-5333. 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. Grubb, Lisa can be contacted via phone (843) 621-2101.Contact Information
Primary practice address
2812 Alberti Dr
Florence SC 29501-5333
Phone: (843) 621-2101
Fax: (843) 317-9944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 804 | South Carolina |
Profile Details
| NPI number | 1073661740 |
|---|---|
| LBN Legal business name | Grubb, Lisa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073661740 | NPPES |
| South Carolina | MEDICAID | TH0390 |
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