Individual
LISA M OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 1400, WESTLAKE, OH 44145-4141
(440) 331-4319
(440) 331-3478
Mailing address
PO BOX 74692, CLEVELAND, OH 44194-0002
(440) 895-5021
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225100000X
TAXONOMY
OH
Enumeration date
06/23/2010
Last updated
01/31/2011
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