Individual
LISSA ANNAMARIE DOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19170 POWERS RD, COLORADO SPRINGS, CO 80928-9432
(719) 464-4861
Mailing address
19170 POWERS RD, COLORADO SPRINGS, CO 80928-9432
(719) 464-4861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012838
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012838
MEDICARE
CO
Enumeration date
03/14/2013
Last updated
03/14/2013
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