Provider Demographics
NPI:1093471278
Name:OWENS, LISAMARIE TRAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LISAMARIE
Middle Name:TRAN
Last Name:OWENS
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 TAMARIND WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-9684
Mailing Address - Country:US
Mailing Address - Phone:407-697-9721
Mailing Address - Fax:
Practice Address - Street 1:10661 AIRPORT RD N STE 15
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7311
Practice Address - Country:US
Practice Address - Phone:239-212-1148
Practice Address - Fax:239-236-0839
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist