Individual
LISA ANN MACDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
751 GRANITE ST, BRAINTREE, MA 02184-5328
(781) 380-4360
(781) 356-1820
Mailing address
2 HARLEY LN, FOXBORO, MA 02035-1253
(508) 543-0853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4825
MA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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