Martin, Lisa Fidelis

Martin, Lisa Fidelis is an individual health care provider with primary practice located at 11201 Benton St , Loma Linda CA 92357-1000. 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. Martin, Lisa Fidelis can be contacted via phone (909) 825-7084.

Contact Information

Primary practice address
11201 Benton St Loma Linda CA 92357-1000
Phone: (909) 825-7084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X AT6523 California

Profile Details

NPI number 1518061746
LBN Legal business name Martin, Lisa Fidelis
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 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.

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