Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA VANDERBLOOMER
ActiveLISA VANDERBLOOMER is a Physical Therapy Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1619990249 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHARLOTTE, NC
Registration Details
- NPI Number
- 1619990249
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2006 (20.063144963729 yrs)
- Last Updated
- Aug 21, 2013
Practice Information
- Address
-
10009 PARK CEDAR DR STE 100CHARLOTTE, NC, 282108935Browse NC providers · Browse ZIP 28210
- Phone
- 7047161024
- Fax
- 7047161025
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. SHELLEY A. MAZZIE | MPT | 1922004761 |
| MR. PAUL E ANDERSON | PT OCS | 1578557658 |
| DEAN L. MONIOT | MS, PT, OCS | 1114917929 |
| DONNA L HOPKINS | PT | 1376524975 |
| MRS. ANTOINETTE OHLSON | PT | 1366423964 |
| MR. DAVID F NOTA | PT | 1700867306 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.