Individual
LISA A CORSICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T
Contact information
Practice address
1120 S CALUMET RD, CHESTERTON, IN 46304-3285
(219) 983-9675
Mailing address
201 EVANS AVE, VALPARAISO, IN 46383-3508
(219) 508-2060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002889A
IN
2251P0200X
Pediatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05002889A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
03/27/2007
Last updated
06/08/2021
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