# LISA CECIL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073886487
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 005996 | KY | — |
| 2251P0200X | Pediatric Physical Therapist | 05010733A | IN | Yes |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 03/12/2018