Individual
MRS. LISA MARION CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1101 VINE ST, SCRANTON, PA 18510-2126
(570) 343-7175
Mailing address
634 TAYLOR AVE, SCRANTON, PA 18510-1817
(570) 941-9449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000459L
PA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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