Individual
MR. JOHN LISMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1400 E PUGH DR, TERRE HAUTE, IN 47802-3942
(812) 232-1776
(812) 232-3084
Mailing address
1400 E PUGH DR, TERRE HAUTE, IN 47802-3938
(812) 232-1776
(812) 232-3084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001909A
IN
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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