National Provider Identifier
Lisa Vargovich Martin, DPT
Lisa Vargovich Martin, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 862-0567.
Profile Overview
- NPI
- 1033296611
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 01, 2006
- Last Updated
- May 09, 2008
Practice Location
- 2540 Sheridan Dr
- Tonawanda, NY 14150
Phone: (716) 862-0567
Mailing Address
- 2670 W Blood RD
- East Aurora, NY 14052-1216
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1033296611
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Lisa
- Middle Name
- Vargovich
- Name Prefix
- MS.
- Credential
- DPT
- Mailing Street Address
- 2670 W Blood RD
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-1216
- Mailing Country
- US
- Mailing Phone
- (716) 655-0225
- Practice Street Address
- 2540 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150
- Practice Country
- US
- Practice Phone
- (716) 862-0567
- Practice Fax
- (716) 862-0571
- Enumeration Date
- November 01, 2006
- Last Updated
- May 09, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)