Individual
LISA BRACK WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10101 W PALMERAS DR, SUN CITY, AZ 85373-2046
(877) 407-3422
(877) 407-4329
Mailing address
7208 MACKENZIE CT NE, RIO RANCHO, NM 87144-8467
(505) 867-5825
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2268
NM
Other
Enumeration date
05/11/2007
Last updated
04/15/2025
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