Individual
MS. LISA CAROLE HOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1260 E OHIO AVE, ESCONDIDO, CA 92027-3054
(760) 746-1100
(760) 746-1201
Mailing address
1322 MORNING GLORY PL, VISTA, CA 92084-7222
(760) 212-0664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 447
CA
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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