Individual
LISA CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
Mailing address
685 36TH AVE NE, SALEM, OR 97301-4741
(503) 371-8860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005996
KY
2251P0200X
Pediatric Physical Therapist
Primary
05010733A
IN
Other
Enumeration date
02/15/2012
Last updated
03/12/2018
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