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Individual

MISS LISSETTE LYNN JAVIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT, ATC

Contact information

Practice address
947 VINERIDGE RUN, #9-103, ALTAMONTE SPRINGS, FL 32714-1762
(630) 750-5038
Mailing address
124 NAUSET LN, SCHAUMBURG, IL 60194-4310
(630) 750-5038

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 22966
FL
225100000X
Physical Therapist
IL
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
04/23/2007
Last updated
09/11/2025
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