Individual
LISA A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7212
(617) 730-0151
Mailing address
22 ROCHESTER RD, CARVER, MA 02330-1515
(508) 866-9340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2038
MA
2251P0200X
Pediatric Physical Therapist
2038
MA
Other
Enumeration date
01/29/2007
Last updated
09/05/2007
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