Individual
ELIZA G LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
945 SAWYER ST, SOUTH PORTLAND, ME 04106-6535
(207) 233-9272
(207) 221-1063
Mailing address
945 SAWYER ST, SOUTH PORTLAND, ME 04106-6535
(207) 233-9272
(207) 221-1063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1822
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432181399
—
ME
Enumeration date
05/22/2006
Last updated
05/07/2019
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