Individual
LISA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2565 FLORIDA ST STE 4&5, MANDEVILLE, LA 70448-3566
(985) 243-1219
(985) 626-6966
Mailing address
501 EMERSON LN, MANDEVILLE, LA 70448-7004
(985) 778-8984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02160
LA
2251X0800X
Orthopedic Physical Therapist
02160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02160
PHYSICAL THERAPY LICENSE
LA
05
—
1184905713
—
LA
Enumeration date
09/09/2011
Last updated
08/22/2023
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