Lisah Nichole Bennett in South Pasadena - Rehabilitation Practitioner
Lisah Nichole Bennett - NPI 1952431793
Lisah Nichole Bennett is a Rehabilitation Practitioner in South Pasadena, California. Lisah Nichole Bennett practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Lisah Nichole Bennett is 1952431793. The last update date is 2007-07-13.
Lisah Nichole Bennett's current location address is 625 S. Fair Oaks Blvd #300, South Pasadena, California. You can contact this provider via phone number 6268312509. The mailing address for Lisah Nichole Bennett is 625 S. Fair Oaks Blvd #300, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisah Nichole Bennett |
|---|---|
| Address | 625 S. Fair Oaks Blvd #300, South Pasadena, California |
| Phone Number | 6268312509 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS MFT |
NPI Number Detail
| NPI Number | 1952431793 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 625 S. Fair Oaks Blvd #300 |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 91030 |
| Phone Number | 6268312509 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
| Licence No | IMF 46200 |
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Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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What is the unique 10-digit identifier code issued to Lisah Nichole Bennett by the Centers for Medicare & Medicaid Services?
The Lisah Nichole Bennett has been assigned the NPI (National Provider Identifier) 1952431793 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lisah Nichole Bennett located?
The Lisah Nichole Bennett is located at 625 S. Fair Oaks Blvd #300, South Pasadena, CA 91030.
What is the area of specialization for Lisah Nichole Bennett, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisah Nichole Bennett is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 225400000X.
When was the Lisah Nichole Bennett's 1952431793 issued?
The Lisah Nichole Bennett's 1952431793 was issued on 2007-03-07.
As of what date were the Lisah Nichole Bennett's details last updated?
The information pertaining to the Lisah Nichole Bennett, including its address, specialty, and other details, was most recently updated on 2007-07-13.