Hardimon, Lisa Marie

Hardimon, Lisa Marie is an individual health care provider with primary practice located at 2621 Manhattan Beach Blvd , Redondo Beach CA 90278-1604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as her primary health care specialty. Hardimon, Lisa Marie can be contacted via phone (310) 374-0477.

Contact Information

Primary practice address
2621 Manhattan Beach Blvd Redondo Beach CA 90278-1604
Phone: (310) 374-0477
Fax: (310) 374-1605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT19902 California

Profile Details

NPI number 1528310547
LBN Legal business name Hardimon, Lisa Marie
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Jun 6th, 2024 - about 3 months 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 1528310547 NPPES
California Other PT19902 PT LICENSE

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