Individual ProviderLisa Bird-HollanderPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5508 Caminito Consuelo, La Jolla, CA 92037-7217(805) 729-4115PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Bird-Hollander does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477975589Provider TypeIndividualFull NameBird-Hollander, LisaTitleMrs.CredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date1/8/2014Last Updated1/8/2014Contact InformationPractice LocationPractice Address5508 Caminito Consuelo, La Jolla, CA 92037-7217Phone(805) 729-4115FaxUnlisted FaxMailing LocationMailing Address5508 Caminito Consuelo, La Jolla, CA 92037-7217Phone(805) 729-4115FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense19229California