Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 25270 | CA |
NPI | 1275516080 |
---|---|
Provider Name | Dr. Lise Ellen Mccarthy |
First Address | San Francisco, CA 94116-3023 |
Second Address | San Francisco, CA 94116-3023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 28/06/2013 |