Individual
LISA VIVEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 CENTER ST, NORTH DIGHTON, MA 02764-1710
(508) 669-6741
Mailing address
161 MOUNTFAIR CIRCLE, SWANSEA, MA 02777-1000
(508) 674-2744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0929
NH
225200000X
Physical Therapy Assistant
Primary
6030
MA
225200000X
Physical Therapy Assistant
PTA00474
RI
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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