Individual
LISA EBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3800 RESERVOIR RD, NW BLES BLDG. CG-12, GEORGETOWN UNIVERSITY HOSPITAL, WASHINGTON, DC 20007
(202) 444-4180
(202) 444-5333
Mailing address
3800 RESERVOIR RD, NW BLES BLDG. CG-12, GEORGETOWN UNIVERSITY HOSPITAL, WASHINGTON, DC 20007
(202) 444-4180
(202) 444-5333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20519
MD
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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