Individual
LISA ALT ELDER
Active
Individual
LISA ALT ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06634
KS
225100000X
Physical Therapist
MSPTL.0000018
CO
2251X0800X
Orthopedic Physical Therapist
PT008993
GA
Other
Enumeration date
06/04/2008
Last updated
04/13/2022
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