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Individual

LISA D KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
265 ELM DR, WAYNESBURG, PA 15370-8275
(724) 627-0685
(724) 627-0849
Mailing address
265 ELM DR, WAYNESBURG, PA 15370-8275
(724) 627-0685
(724) 627-0849

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT002279E
PA

Other

Enumeration date
04/05/2006
Last updated
09/07/2012
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