Riedle, Lisa

Riedle, Lisa is an sole proprietor health care provider with primary practice located at 3351 El Camino Real Suite 180, Atherton CA 94027-3811. 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. Riedle, Lisa can be contacted via phone (650) 365-8350.

Contact Information

Primary practice address
3351 El Camino Real Suite 180 Atherton CA 94027-3811
Phone: (650) 365-8350
Fax: (650) 365-8353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT17939 California

Profile Details

NPI number 1619095007
LBN Legal business name Riedle, Lisa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1619095007 NPPES
California Other PT17939 PT LICENSE

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