MRS. Lisa Marie Vidakovic, P.T.

NPI #1073757886 in Erie, Pennsylvania

Provider Information

NPI Number: 1073757886
Entity Type: Individual
Name: MRS. Lisa Marie Vidakovic, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Apr 23, 2009
Last Updated: Jan 15, 2019

Practice Location

Address: 1343 W 38TH ST
City: Erie
State: Pennsylvania
ZIP Code: 16508-2461
Phone: (814) 315-2548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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