Organization
LISA HAAS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA KARIN HAAS DPT (OWNER)
(310) 453-1969
Entity
Organization
Contact information
Practice address
1708 19TH ST, C/O BODYFIRST, SANTA MONICA, CA 90404-4418
(310) 453-1969
Mailing address
425 IDAHO AVE, #6, SANTA MONICA, CA 90403-2667
(310) 463-9802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT22415
CA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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