Individual
JENNIFER A LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1350 S KING ST STE 307, HONOLULU, HI 96814-2008
(609) 468-2725
Mailing address
435 SEASIDE AVE APT 704, HONOLULU, HI 96815-2611
(609) 468-2725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25060
MD
225100000X
Physical Therapist
Primary
PT-4508
HI
Other
Enumeration date
07/03/2014
Last updated
02/28/2022
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