Provider Demographics
NPI:1750450334
Name:KEARNS, LISA MARIE (MS PT)
Entity Type:Individual
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First Name:LISA
Middle Name:MARIE
Last Name:KEARNS
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Gender:F
Credentials:MS PT
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Mailing Address - Street 1:1172 S DIXIE HWY
Mailing Address - Street 2:#548
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2918
Mailing Address - Country:US
Mailing Address - Phone:305-381-6223
Mailing Address - Fax:305-381-6294
Practice Address - Street 1:1200 ANASTASIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6339
Practice Address - Country:US
Practice Address - Phone:305-381-6223
Practice Address - Fax:305-381-6294
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2009-01-07
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Provider Licenses
StateLicense IDTaxonomies
FLPT72912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic