Individual provider · Type 1 NPI

Lisa Bourbeau Mumford, P.T.

Pediatric Physical Therapist · El Cajon, CA

NPI number 1730328600 Active

Practice location

833 Broadway, Suite 100
El Cajon, CA 92021-4668

Mailing address

6209 Pearl Lake Ave
San Diego, CA 92119-3341

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XPT 20702 (CA)
Pediatric Physical Therapist Primary 2251P0200XPT 20702 (CA)

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 1730328600

Lisa Bourbeau Mumford, P.T.'s National Provider Identifier is 1730328600, issued on Feb 16, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in El Cajon, CA. The record was last updated on Feb 16, 2009.