Individual
LISA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
60660 GENTLE RUN CT, SOUTH BEND, IN 46614-5185
(574) 210-6010
Mailing address
60660 GENTLE RUN CT, SOUTH BEND, IN 46614-5185
(574) 210-6010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05002193A
IN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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