Individual
LISA DEPAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1642 W AVENUE J, LANCASTER, CA 93534-2814
(661) 942-8463
Mailing address
5035 RELA WAY W, QUARTZ HILL, CA 93536-2511
(734) 276-7932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
03425
OH
225200000X
Physical Therapy Assistant
Primary
8875
CA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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