Individual
DR. LISA GOLIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2415
(617) 740-2413
Mailing address
PO BOX 606, NORTH ANDOVER, MA 01845-0606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22353
MA
225100000X
Physical Therapist
PT34940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT34940
PT LICENSE
CA
Enumeration date
10/08/2008
Last updated
08/24/2016
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