Individual
DR. LISA MARIE-MONE FOURKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CPA (INACTI
Contact information
Practice address
1601 SOUTH DEANZA BLVD, SUITE 111, CUPERTINO, CA 95014
(408) 257-2225
(408) 257-2485
Mailing address
862 QUETTA AVE, SUNNYVALE, CA 94087-1254
(408) 830-9761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25938
CA
2251X0800X
Orthopedic Physical Therapist
Primary
25938
CA
Other
Enumeration date
12/02/2011
Last updated
11/28/2018
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