Individual
MRS. LISA MARIE MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4801 DORSEY HALL DR STE 130, ELLICOTT CITY, MD 21042-7763
(443) 393-3788
(443) 378-3533
Mailing address
4801 DORSEY HALL DR STE 130, ELLICOTT CITY, MD 21042-7763
(443) 393-3788
(443) 378-3533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209236
VA
225100000X
Physical Therapist
Primary
26723
MD
2255A2300X
Athletic Trainer
1168
NC
Other
Enumeration date
04/02/2007
Last updated
03/17/2018
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