Individual
MRS. REBECCA ANN LISKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 HELEN STREET, CLYDE, OH 43410
(419) 547-9595
Mailing address
3010 COUNTY ROAD 195, CLYDE, OH 43410
(419) 547-8882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04317
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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