Individual
LISA A BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 W BACON ST, PLAINVILLE, MA 02762-2422
(508) 954-9361
Mailing address
110 W BACON ST, PLAINVILLE, MA 02762-2422
(508) 954-9361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00710
RI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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