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Organization
LISA HAAS PHYSICAL THERAPY, INC.
Active
Organization
LISA HAAS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA KARIN HAAS DPT (OWNER)
(310) 453-1969
Entity
Organization
Contact information
Practice address
1708 19TH ST, C/O BODYFIRST, SANTA MONICA, CA 90404-4418
(310) 453-1969
Mailing address
425 IDAHO AVE, #6, SANTA MONICA, CA 90403-2667
(310) 463-9802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT22415
CA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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