Johanson, Lisa Marie

Johanson, Lisa Marie is an individual health care provider with primary practice located at 100 Glen Cove Ave , Glen Cove NY 11542-2818. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johanson, Lisa Marie can be contacted via phone (516) 609-2000.

Contact Information

Primary practice address
100 Glen Cove Ave Glen Cove NY 11542-2818
Phone: (516) 609-2000
Fax: (516) 609-2014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 003389-1 New York

Profile Details

NPI number 1598078560
LBN Legal business name Johanson, Lisa Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jul 20th, 2010 - about 14 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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