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Individual

DR. LISA PERKINS HOUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, OCS, MTC

Contact information

Practice address
610 SOLAREX CT, FREDERICK, MD 21703-8624
(240) 215-9023
(240) 215-9026
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
(240) 215-9023

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20195
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147719000
DOL FSS
MD
01
2116439
MAMSI FSS
MD
01
3116439
MAMSI MSS
MD
01
334552
PHCS
MD
01
602030700
DOL MSS
MD
01
611844-02
CAREFIRST MSS
MD
01
650022015
MC RR
MD
01
6611844-01
CAREFIRST FSS
MD
01
K134-0001
BC FEP MSS
MD
01
R5590004
FSS BC FEP
MH
Enumeration date
12/13/2005
Last updated
01/07/2026
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