Individual
LISA ERTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
210 CLEAVER FARMS RD STE 1, MIDDLETOWN, DE 19709-1670
(302) 449-2048
Mailing address
210 CLEAVER FARMS RD STE 1, MIDDLETOWN, DE 19709-1670
(302) 449-2048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002669
DE
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00976381
MEDICARE RAILROAD
DE
Enumeration date
02/11/2011
Last updated
02/06/2023
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