Lisa Sharon Iacovelli, PT

NPI #1093826026 in Mill Valley, California

Provider Information

NPI Number: 1093826026
Entity Type: Individual
Name: Lisa Sharon Iacovelli, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 33 MILLER AVENUE
City: Mill Valley
State: California
ZIP Code: 94941
Phone: (415) 380-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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