Lisa Glaser, MS, PT
Individual provider Active NPI Physical Therapist · McClellan, CA
NPI 1588053383 · NPPES record last updated Jan 16, 2015
Key facts
- NPI
- 1588053383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 34729 (CA)
- Practice address
- 5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012 - Phone
- (916) 561-7510
- NPI assigned
- Jan 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34729 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34729 | CA | Yes |
Addresses
Primary practice location
5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Phone (916) 561-7510
Other providers in McClellan, CA
- Tyelahnai Lil' Lean Frelix
- Scott Alan Gale
- Gateway Community Charters
- Nancy Anne Gilbert
- Ramandip Gill
- Jose Gonzalez Garcia
- Jane Grabowski
- Alexa Itxel Guerra
- Galen Guerrero
- Gloria A Hernandez
All providers in McClellan, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.