# LISA MARIE O'BRIEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558734517
- **Gender:** F
- **Credential:** PT, DPT, CERT. DN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 7923 | SC | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 01/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Q527157906 | MEDICARE PTAN | SC |
| 01 | — | Q527159403 | MEDICARE PTAN | SC |
| 01 | — | Q52715A382 | MEDICARE PTAN | SC |
| 01 | — | Q52715C630 | MEDICARE PTAN | SC |
| 01 | — | Q52715E293 | MEDICARE PTAN | SC |
| 01 | — | Q52715F404 | MEDICARE PTAN | SC |