Provider Demographics
NPI:1740477215
Name:SYLVESTRI, LISA BERMAN (MSPT, CLT-LANA)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:BERMAN
Last Name:SYLVESTRI
Suffix:
Gender:F
Credentials:MSPT, CLT-LANA
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:BETH
Other - Last Name:BERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:822 HARTZ WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3420
Mailing Address - Country:US
Mailing Address - Phone:925-322-0713
Mailing Address - Fax:
Practice Address - Street 1:822 HARTZ WAY STE 210
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3420
Practice Address - Country:US
Practice Address - Phone:925-322-0713
Practice Address - Fax:925-322-2732
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18748225100000X
CA38552225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist