Individual
LISA MARIE NEZWAZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1688 TUTWILER AVE, MEMPHIS, TN 38107-5046
(901) 652-3289
Mailing address
1688 TUTWILER AVE, MEMPHIS, TN 38107-5046
(901) 652-3289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000001842
TN
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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