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Individual
LISA GELLER
Active
Individual
LISA GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
40QA85700
NJ
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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