Individual
LISA WALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1751 N LAKE AVE UNIT 101, ESTES PARK, CO 80517-9448
(970) 577-8200
Mailing address
1751 N LAKE AVE UNIT 101, ESTES PARK, CO 80517-9448
(970) 577-8200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12702
CO
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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