Individual
LISA ANN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 PLAZA DR, SCARBOROUGH, ME 04074-8996
(207) 883-1211
Mailing address
7 PLAZA DR, SCARBOROUGH, ME 04074-8996
(207) 883-1211
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
02-25-2008
ME
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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