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Individual
MS. LISA MEDGANSIS
Active
Individual
MS. LISA MEDGANSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-6390
STATE OF FL. PT LICENSE
FL
Enumeration date
06/13/2006
Last updated
05/26/2011
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