Provider Demographics
NPI:1801283932
Name:CALHOUN, LISA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:ERRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1280 CREEKSIDE ST
Mailing Address - Street 2:102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1948
Mailing Address - Country:US
Mailing Address - Phone:239-624-0380
Mailing Address - Fax:239-435-0119
Practice Address - Street 1:1280 CREEKSIDE ST
Practice Address - Street 2:102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1948
Practice Address - Country:US
Practice Address - Phone:239-624-0380
Practice Address - Fax:239-435-0119
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0R17OtherBCBS
FLY0R17OtherBCBS