Individual
MS. LISA MARIE PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1454 S COUNTY TRL, EAST GREENWICH, RI 02818-1749
(401) 444-2050
Mailing address
2 NEWPORT AVE # 1, NEWPORT, RI 02840-2149
(207) 313-3655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02938
RI
Other
Enumeration date
07/05/2016
Last updated
08/19/2016
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