Individual
LISE A DAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1142 ROUTE 12A, PLAINFIELD, NH 03781-5050
(603) 650-8628
Mailing address
PO BOX 311, PLAINFIELD, NH 03781-0311
(603) 650-8628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1512
NH
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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