Iacovelli, Lisa Sharon

Iacovelli, Lisa Sharon is an individual health care provider with primary practice located at 33 Miller Avenue , Mill Valley CA 94941. 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. Iacovelli, Lisa Sharon can be contacted via phone (415) 380-9242.

Contact Information

Primary practice address
33 Miller Avenue Mill Valley CA 94941
Phone: (415) 380-9242
Fax: (415) 388-7458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X OPT14541 California

Profile Details

NPI number 1093826026
LBN Legal business name Iacovelli, Lisa Sharon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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