MS. Lisa P Illg, P.T.

NPI #1841408275 in Palmer, Alaska

Provider Information

NPI Number: 1841408275
Entity Type: Individual
Name: MS. Lisa P Illg, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 809 S CHUGACH ST
Address 2: SUITE 1
City: Palmer
State: Alaska
ZIP Code: 99645-6605
Phone: (907) 746-4373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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