Individual provider · Type 1 NPI

Lisa J. Herzog, P.T.

Pediatric Physical Therapist · Albany, NY

NPI number 1669675047 Active

Practice location

22 Bosher Dr
Albany, NY 12205-1702

Fax (518) 482-3280

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X0146841 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1669675047

Lisa J. Herzog, P.T.'s National Provider Identifier is 1669675047, issued on Jun 6, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Albany, NY. The record was last updated on Jul 8, 2007.