Lisa Ford

NPI #1942643739 in Herrin, Illinois

Provider Information

NPI Number
1942643739
Entity Type
Individual
Name
Lisa Ford
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Apr 10, 2013
Last Updated
Apr 10, 2013

Practice Location

Address
413 JESSE LN
City
Herrin
ZIP Code
62948-3786
Phone
(573) 673-6672

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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