MS. Lisa Marie Fousek

NPI #1023157906 in Medina, Ohio

Provider Information

NPI Number: 1023157906
Entity Type: Individual
Name: MS. Lisa Marie Fousek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 E WASHINGTON ST
City: Medina
State: Ohio
ZIP Code: 44256-2170
Phone: (330) 725-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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