MRS. Lisa Lynette Short I, PTA

NPI #1376703900 in Luling, Texas

Provider Information

NPI Number
1376703900
Entity Type
Individual
Name
MRS. Lisa Lynette Short I, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 17, 2008
Last Updated
Jun 17, 2008

Practice Location

Address
200 MEMORIAL DR
City
Luling
State
Texas
ZIP Code
78648-3213
Phone
(830) 875-8457

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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