Gummerman, Lisa D

Gummerman, Lisa D is an individual health care provider with primary practice located at 507 E Armstrong Ave , Peoria IL 61603-3201. 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. Gummerman, Lisa D can be contacted via phone (309) 686-1177.

Contact Information

Primary practice address
507 E Armstrong Ave Peoria IL 61603-3201
Phone: (309) 686-1177
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1366413551
LBN Legal business name Gummerman, Lisa D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 9th, 2008 - about 16 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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