Individual
LISA JEAN SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
222 FORBES RD, BRAINTREE, MA 02184-2706
(781) 356-7400
Mailing address
355 OTIS ST, MANSFIELD, MA 02048-2059
(781) 696-9550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13203
MA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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