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Individual

MRS. LISA A CAPOGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
110 HAVERHILL RD, SUITE 401, AMESBURY, MA 01913-2123
(978) 388-4500
(978) 388-8255
Mailing address
110 HAVERHILL RD, SUITE 401, AMESBURY, MA 01913-2123

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007291
CT
225100000X
Physical Therapist
16550
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
468109
TUFTS
MA
01
Y68287
BCBS
MA
Enumeration date
06/11/2006
Last updated
06/01/2010
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