Provider Demographics
NPI:1558538223
Name:OSWALD, LISA LOWERY (PT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:LOWERY
Last Name:OSWALD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:266 INTERSTATE COMMERCIAL PARK LOOP
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-7361
Mailing Address - Country:US
Mailing Address - Phone:334-568-2121
Mailing Address - Fax:334-568-2124
Practice Address - Street 1:266 INTERSTATE COMMERCIAL PARK LOOP
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7361
Practice Address - Country:US
Practice Address - Phone:334-568-2121
Practice Address - Fax:334-568-2124
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist