Individual
MS. LISA PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
331 WILMINGTON PIKE, GLEN MILLS, PA 19342-2277
(610) 558-5866
(610) 558-6103
Mailing address
120 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1420
(610) 270-0370
(610) 270-0374
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT025572
PA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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