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Individual

LISA M PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
949 MOUNT HERMON RD, SALISBURY, MD 21804-5105
(410) 543-9000
(410) 543-9033
Mailing address
949 MOUNT HERMON RD, SALISBURY, MD 21804-5105
(410) 543-9000
(410) 543-9033

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16290
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071378301
MD
01
45897
MAMSI
MD
01
52788301
CAREFIRST
MD
01
S4020004
FEDERAL BC
MD
Enumeration date
04/24/2007
Last updated
08/26/2010
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