Individual
MS. LISA LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10 REYNOLDS AVE, NATICK, MA 01760-4857
(508) 653-2577
Mailing address
10 REYNOLDS AVE, NATICK, MA 01760-4857
(508) 653-2577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3647
MA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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