Randberg, Lisa Ann
Randberg, Lisa Ann is an individual health care provider with primary practice located at 56 Debbie Lee Ln , Bohemia NY 11716-3803. 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. Randberg, Lisa Ann can be contacted via phone (631) 751-8000.Contact Information
Primary practice address
56 Debbie Lee Ln
Bohemia NY 11716-3803
Phone: (631) 751-8000
Fax: (631) 175-8030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 016262-1 | New York |
Profile Details
| NPI number | 1588006936 |
|---|---|
| LBN Legal business name | Randberg, Lisa Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2013 |
| Last updated | Jul 26th, 2013 - about 13 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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