Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT00009222 | WA |
NPI | 1255720009 |
---|---|
Provider Name | Lisa R Springer |
First Address | Spokane, WA 99220-3649 |
Second Address | Spokane, WA 99204-2975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2015 |
Last Update Date | 16/01/2015 |